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NPI Code Detail

MEDICARE: SUSAN PALAZZO RN BSN

MEDICARE: SUSAN PALAZZO RN BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered Nurse9380652FL

General Provider Information

NPI Number : 1083145684
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN PALAZZO RN BSN
Provider Business Mailing Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1406
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-397-3975
Fax Number :
Provider Business Practice Location Address
First Line : 615 PIIKOI ST
Second Line : SUITE 1406
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-397-3975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2017
Last Update Date : 03/24/2017

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Directions to “ SUSAN PALAZZO RN BSN” Practice Location

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