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NPI Code Detail

MEDICARE: MILLICENT ROSE PALACIOS DNP, APRN, CPNP

MEDICARE: MILLICENT ROSE PALACIOS DNP, APRN, CPNP
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
1363LP0200XPediatric Nurse Practitioner2019042361MO
2363LP0200XPediatric Nurse Practitioner1033816TX

General Provider Information

NPI Number : 1972128510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILLICENT ROSE PALACIOS DNP, APRN, CPNP
Provider Business Mailing Address
First Line : 1915 E MAYFIELD RD STE 115
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2605
Country : US
Telephone Number : 682-276-6700
Fax Number : 682-276-6025
Provider Business Practice Location Address
First Line : 1915 E MAYFIELD RD STE 115
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2605
Country : US
Telephone Number : 682-276-6700
Fax Number : 682-276-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2020
Last Update Date : 05/21/2025

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