Provider Demographics
NPI:1619244142
Name:ALTMAN, COLLEEN DEVOE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:DEVOE
Last Name:ALTMAN
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Gender:F
Credentials:CRNP
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Mailing Address - Street 1:28595 ORCHARD LAKE RD
Mailing Address - Street 2:BUILDING #110 M.I.N.D.
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-553-0606
Mailing Address - Fax:248-553-7674
Practice Address - Street 1:28595 ORCHARD LAKE RD
Practice Address - Street 2:BUILDING #110 M.I.N.D.
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-553-0606
Practice Address - Fax:248-553-7674
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2013-04-11
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Provider Licenses
StateLicense IDTaxonomies
MI4704286072363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health