Healthcare Provider Details

I. General information

NPI: 1912596099
Provider Name (Legal Business Name): NANCY ANN-MARTIN PALOMBO FNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2021
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W CARO RD STE VI
CARO MI
48723-8209
US

IV. Provider business mailing address

3648 WEDGEWOOD DR
LAPEER MI
48446-2997
US

V. Phone/Fax

Practice location:
  • Phone: 989-673-6144
  • Fax: 989-672-1800
Mailing address:
  • Phone: 636-795-0373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN0000027996
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: