Healthcare Provider Details

I. General information

NPI: 1851527949
Provider Name (Legal Business Name): ROXANNE ALTEMUS DNP-CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 EISENHOWER BLVD
JOHNSTOWN PA
15904-3222
US

IV. Provider business mailing address

1405 EISENHOWER BLVD STE 106
JOHNSTOWN PA
15904-3200
US

V. Phone/Fax

Practice location:
  • Phone: 814-659-1106
  • Fax: 814-217-1327
Mailing address:
  • Phone: 814-659-1136
  • Fax: 814-217-1327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP016419
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN314918L
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN314918L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: