Tina Marie Alt Valid NPI

Individual provider · Licensed Practical Nurse · Spring Green, WI

NPI

1871904359

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

304259-31 (WI)

Sex

Female

Sole proprietor

Yes

Enumerated

2014-05-18

Last updated

2014-05-20