Healthcare Provider Details

I. General information

NPI: 1447182985
Provider Name (Legal Business Name): MADELAINA PALMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N 12TH ST
READING PA
19604-1545
US

IV. Provider business mailing address

140 N 8TH ST
READING PA
19601-3610
US

V. Phone/Fax

Practice location:
  • Phone: 610-816-5728
  • Fax:
Mailing address:
  • Phone: 484-388-6403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN707805
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: