MEDICARE: DR. KERRY COLLEEN PALAKANIS APRN

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	363LF0000X	Family Nurse Practitioner	APN001102	NV

General Provider Information

NPI Number	:	1841466810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KERRY COLLEEN PALAKANIS APRN

Provider Business Mailing Address
First Line	:	2820 ARAGON TERRACE WAY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1686
Country	:	US
Telephone Number	:	702-561-2586
Fax Number	:	702-940-4063

Provider Business Practice Location Address
First Line	:	10120 S EASTERN AVE STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-3953
Country	:	US
Telephone Number	:	385-707-7175
Fax Number	:

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	10/06/2025

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