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NPI Code Detail

MEDICARE: ALTERA HEALTH PROFESSIONAL NURSING CORPORATION

MEDICARE: ALTERA HEALTH PROFESSIONAL NURSING CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1063338846
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTERA HEALTH PROFESSIONAL NURSING CORPORATION
Provider Business Mailing Address
First Line : PO BOX 8013
Second Line :
City : GREENSBORO
State : NC
Zip : 27419-0013
Country : US
Telephone Number : 909-255-1342
Fax Number : 888-808-5158
Provider Business Practice Location Address
First Line : 228 HAMILTON AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94301-2583
Country : US
Telephone Number : 909-255-1342
Fax Number : 888-808-5158
Authorized Official
Title or Position : PRESIDENT
Name : RUBY TAN RAMOS
Credential : PMHNP
Telephone Number : 909-255-1342
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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Directions to “ALTERA HEALTH PROFESSIONAL NURSING CORPORATION ” Practice Location

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