MEDICARE: ANITA PALANDRI NP

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	AP9006	AZ
2	363L00000X	Nurse Practitioner	AP9006	AZ

General Provider Information

NPI Number	:	1851840870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA PALANDRI NP

Provider Business Mailing Address
First Line	:	4048 W ALEX LOOP
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-2444
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 W ROSE GARDEN LN STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-3135
Country	:	US
Telephone Number	:	623-265-7215
Fax Number	:	833-465-1462

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

Provider Enumeration Date	:	10/03/2016
Last Update Date	:	01/08/2024

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Directions to “ ANITA PALANDRI NP” Practice Location

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