Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 000887 | NV |
NPI | 1790121978 |
---|---|
Provider Name | Patricia A Palmer |
First Address | Las Vegas, NV 89101 |
Second Address | Las Vegas, NV 89101-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2013 |
Last Update Date | 31/07/2013 |