Jennifer Altman

Individual provider Active NPI Licensed Practical Nurse · Lancaster, PA

NPI 1124898119 · NPPES record last updated Jan 2, 2024

Key facts

NPI
1124898119
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN281958 (PA)
Practice address
2141 Oregon Pike
Lancaster, PA 17602-4604
Phone
(717) 617-2708
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN281958PAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN281958 PA Yes

Addresses

Primary practice location

2141 Oregon Pike
Lancaster, PA 17602-4604

Mailing address

1715 Graceland Road
New Castle, PA 16105
Phone (724) 651-7388

Other providers in Lancaster, PA

All providers in Lancaster, PA · Licensed Practical Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.