Colette Millie Altomar, RN, PHN
Individual provider Active NPI Community Health Registered Nurse · Marysville, CA
NPI 1679753172 · NPPES record last updated Nov 13, 2007
Key facts
- NPI
- 1679753172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 182593 (CA)
- Practice address
- 5730 Packard Ave
Ste 100
Marysville, CA 95901 - Phone
- (530) 749-6767
- Fax
- (530) 749-6397
- NPI assigned
- Nov 13, 2007
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182593 | CA | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 182593 | CA | Yes |
Addresses
Primary practice location
5730 Packard Ave
Ste 100
Marysville, CA 95901
Mailing address
5730 Packard Ave Ste 100
PO Box 2320
Marysville, CA 95901
Phone (530) 749-6767
Other providers in Marysville, CA
- David Joseph Alessio
- Allen Alexander
- Hyo Sook Catherine Allen
- Megan Allen
- Nikcota Alston
- American Addiction Treatment Services Inc
- Tyler James Amos
- Ampla Health
- Ampla Health
- Cheryl Ann Andersen
All providers in Marysville, CA · Community Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.