Provider Demographics
NPI:1407352149
Name:ALTMAN, ROXANNE N (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:N
Last Name:ALTMAN
Suffix:
Gender:
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 1:870 INLET SQUARE DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7873
Mailing Address - Country:US
Mailing Address - Phone:843-504-2121
Mailing Address - Fax:877-817-3832
Practice Address - Street 1:870 INLET SQUARE DR UNIT A
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7873
Practice Address - Country:US
Practice Address - Phone:843-504-2121
Practice Address - Fax:877-817-3832
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC226087363LF0000X
SC21818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily