MEDICARE: RACHEL ELIZABETH PALMETER MSN, RN-BC, CWON

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
1	163WW0000X	Wound Care Registered Nurse	934874	TX

General Provider Information

NPI Number	:	1770332025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELIZABETH PALMETER MSN, RN-BC, CWON

Provider Business Mailing Address
First Line	:	6921 ESTANA LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-2112
Country	:	US
Telephone Number	:	609-356-2857
Fax Number	:

Provider Business Practice Location Address
First Line	:	6921 ESTANA LN
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-2112
Country	:	US
Telephone Number	:	609-356-2857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2024
Last Update Date	:	05/17/2024

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