Healthcare Provider Details

I. General information

NPI: 1154190106
Provider Name (Legal Business Name): MAKAYLA PALMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5577 AIRPORT HWY STE 200
TOLEDO OH
43615-7364
US

IV. Provider business mailing address

5577 AIRPORT HWY STE 200
TOLEDO OH
43615-7364
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-0442
  • Fax:
Mailing address:
  • Phone: 419-720-0442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.190387
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: