Physician Compare National (NPI:1366869513)

HEALTHCARE PROVIDER: RONALD MACLEAN PALMER AGPCNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1366869513
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820311996
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20141222000251
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PALMER
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	MACLEAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	675 RAPP RD
	Group Practice or individual's line 1 address
City	KELLER
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762483035
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8173376800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y