Healthcare Provider Details

I. General information

NPI: 1285761429
Provider Name (Legal Business Name): SUSAN JOY ALTERMATT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN JOY OWEN ALTERMATT FNP

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FALCON CREST LN
CLYDE NC
28721-6620
US

IV. Provider business mailing address

145 PINELLAS LN
WAYNESVILLE NC
28785-7273
US

V. Phone/Fax

Practice location:
  • Phone: 828-627-9998
  • Fax: 828-627-9946
Mailing address:
  • Phone: 828-926-3849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number82245
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: