Provider Demographics
NPI:1174030340
Name:LINDA M PALMER, APRN, BC, LLC
Entity Type:Organization
Organization Name:LINDA M PALMER, APRN, BC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, BC
Authorized Official - Phone:774-644-7550
Mailing Address - Street 1:50 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6272
Mailing Address - Country:US
Mailing Address - Phone:774-644-7550
Mailing Address - Fax:508-999-7795
Practice Address - Street 1:50 N 2ND ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6272
Practice Address - Country:US
Practice Address - Phone:774-644-7550
Practice Address - Fax:508-999-7795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA166480364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty