Provider Demographics
NPI:1285761429
Name:ALTERMATT, SUSAN JOY (FNP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:JOY
Last Name:ALTERMATT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:JOY
Other - Last Name:OWEN ALTERMATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:145 PINELLAS LN
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-7273
Mailing Address - Country:US
Mailing Address - Phone:828-926-3849
Mailing Address - Fax:
Practice Address - Street 1:24 FALCON CREST LN
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-6620
Practice Address - Country:US
Practice Address - Phone:828-627-9998
Practice Address - Fax:828-627-9946
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily