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NPI Code Detail

MEDICARE: MS. ANGELICA G PALMER LPN

MEDICARE: MS. ANGELICA G PALMER LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLP045829AZ

General Provider Information

NPI Number : 1023241528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELICA G PALMER LPN
Provider Business Mailing Address
First Line : 21453 N GOLES DR
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-9329
Country : US
Telephone Number : 480-294-0505
Fax Number :
Provider Business Practice Location Address
First Line : 44150 W MARICOPA CASA GRANDE HWY
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-5900
Country : US
Telephone Number : 520-568-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2009
Last Update Date : 08/31/2009

Similar Medicare Providers

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1386977130 — MS. NICHELLE RYNETTE JOHNSON LPN
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1053646406 — BETH MARIE FABRICK RN
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1407182306 — MEGAN EILEEN KAHLER LPN
Practice Location Address:
44150 W MARICOPA CASA GRANDE HWY
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85138-5900
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Practice Fax: 520-568-5151

Directions to “ MS. ANGELICA G PALMER LPN” Practice Location

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