Healthcare Provider Details

I. General information

NPI: 1952225005
Provider Name (Legal Business Name): MS. EVRETH MERCADES PALMER-BROOKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUDLAGER 301
VILSECK BAVARIA
92249
DE

IV. Provider business mailing address

UNIT 23807 ROSE BARRACKS, GERMANY
APO AE
09112
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 314-590-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number95032931
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number95032931
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95032931
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95032931
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number95032931
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: