| Altena to Nizza Monferrato | 451.97 mi (727.37 km) |
| Altena to Noale | 445.46 mi (716.89 km) |
| Altena to Nocera Inferiore | 801.03 mi (1,289.13 km) |
| Altena to Nocera Superiore | 802.33 mi (1,291.22 km) |
| Altena to Noceto | 462.71 mi (744.66 km) |
| Altena to Noci | 854.23 mi (1,374.75 km) |
| Altena to Noicattaro | 836.33 mi (1,345.94 km) |
| Altena to Nola | 787.32 mi (1,267.08 km) |
| Altena to Nonantola | 483.32 mi (777.84 km) |
| Altena to Noto | 1,060.58 mi (1,706.85 km) |
| Altena to Nova Milanese | 401.16 mi (645.61 km) |
| Altena to Novara | 406.53 mi (654.25 km) |
| Altena to Novate Milanese | 404.05 mi (650.26 km) |
| Altena to Novellara | 467.49 mi (752.35 km) |
| Altena to Noventa Vicentina | 451.96 mi (727.36 km) |
