MEDICARE: MARGARET PALERMO R.N.

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
1	163W00000X	Registered Nurse	063560	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	063560	OTHER	MO	STATE OF MISSOURI BOARD OF NURSING

General Provider Information

NPI Number	:	1588039911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET PALERMO R.N.

Provider Business Mailing Address
First Line	:	1745 SAINT FRANCOIS ST
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-3433
Country	:	US
Telephone Number	:	314-837-7789
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 SAINT FRANCOIS ST
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63033-3433
Country	:	US
Telephone Number	:	314-837-7789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2015
Last Update Date	:	12/10/2015

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