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Contact Information

JOHN MARIO W ALTAMIRANO, FNP
2730 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA70506-5939
 Phone: 337-988-1585
 Fax: 337-981-4694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JOHN MARIO W ALTAMIRANO · (Male)

NPI # 1659764041
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/10/2015
Last updated 01/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP08184
  • LA Medicaid 2387022
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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