Healthcare Provider Details

I. General information

NPI: 1821935826
Provider Name (Legal Business Name): OLIVIA PALERMO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13120 E 19TH AVE
AURORA CO
80045-2567
US

IV. Provider business mailing address

34052 ALCAZAR DR APT A
DANA POINT CA
92629-6648
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-1812
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95304065
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: