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NPI Code Detail

MEDICARE: ALEXANDRIA CAMILLE PALMER

MEDICARE:   ALEXANDRIA CAMILLE PALMER
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
1101Y00000XCounselor235213AK

General Provider Information

NPI Number : 1386269439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA CAMILLE PALMER
Provider Business Mailing Address
First Line : PO BOX 298868
Second Line :
City : WASILLA
State : AK
Zip : 99629-8868
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 24091 W LONG LAKE RD
Second Line :
City : WILLOW
State : AK
Zip : 99688-0519
Country : US
Telephone Number : 907-733-9292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2020
Last Update Date : 11/19/2025

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Directions to “ ALEXANDRIA CAMILLE PALMER ” Practice Location

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