MEDICARE: MRS. CHRISANN PALMIERI CNM

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	363LW0102X	Women's Health Nurse Practitioner	25ME00070701	NJ
2	367A00000X	Advanced Practice Midwife	25ME00070701	NJ

General Provider Information

NPI Number	:	1639792922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISANN PALMIERI CNM

Provider Business Mailing Address
First Line	:	PO BOX 22581
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-2581
Country	:	US
Telephone Number	:	856-669-6050
Fax Number	:	856-528-3117

Provider Business Practice Location Address
First Line	:	901 ROUTE 23 STE 202
Second Line	:
City	:	POMPTON PLAINS
State	:	NJ
Zip	:	07444-1025
Country	:	US
Telephone Number	:	973-831-1800
Fax Number	:	973-248-6829

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

Provider Enumeration Date	:	05/21/2020
Last Update Date	:	04/24/2025

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