Provider Demographics
NPI:1225502982
Name:PALMISANO, KARI ANNE (RN)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:ANNE
Last Name:PALMISANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N1562 BLUEBIRD DR
Mailing Address - Street 2:
Mailing Address - City:LAKE GENEVA
Mailing Address - State:WI
Mailing Address - Zip Code:53147-4355
Mailing Address - Country:US
Mailing Address - Phone:262-745-2792
Mailing Address - Fax:
Practice Address - Street 1:N1562 BLUEBIRD DR
Practice Address - Street 2:
Practice Address - City:LAKE GENEVA
Practice Address - State:WI
Practice Address - Zip Code:53147-4355
Practice Address - Country:US
Practice Address - Phone:262-745-2792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI235004-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse