MEDICARE: NANCY EILEEN DEPALMA RN, BSN

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	163WH0200X	Home Health Registered Nurse	RN366258	CA
2	163WP1700X	Perinatal Registered Nurse	RN366258	CA
3	163WM0102X	Maternal Newborn Registered Nurse	RN366258	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912795782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY EILEEN DEPALMA RN, BSN

Provider Business Mailing Address
First Line	:	24533 SANTA CLARA AVENUE
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-3032
Country	:	US
Telephone Number	:	949-424-9902
Fax Number	:

Provider Business Practice Location Address
First Line	:	24533 SANTA CLARA AVENUE
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-3032
Country	:	US
Telephone Number	:	949-424-9902
Fax Number	:

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

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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