Healthcare Provider Details

I. General information

NPI: 1902562176
Provider Name (Legal Business Name): DULCE ESTRELLA PALACIOS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DULCE ESTRELLA PALACIOS HERNANDEZ

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WORCESTER RD STE 303
FRAMINGHAM MA
01702-5316
US

IV. Provider business mailing address

171 MAIN ST STE 203B
ASHLAND MA
01721-1187
US

V. Phone/Fax

Practice location:
  • Phone: 508-665-4317
  • Fax: 508-820-0781
Mailing address:
  • Phone: 508-881-3029
  • Fax: 508-881-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2307338
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: