Provider Demographics
NPI:1801518840
Name:ALTAMURA, HEATHER MEGAN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MEGAN
Last Name:ALTAMURA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SKIPPING ROCK WAY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-7006
Mailing Address - Country:US
Mailing Address - Phone:510-846-3969
Mailing Address - Fax:
Practice Address - Street 1:1735 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1702
Practice Address - Country:US
Practice Address - Phone:707-252-8050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021380363LF0000X
CA95222401163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse