Provider Demographics
NPI:1245758341
Name:PALACIOS, JULIE FEDERICO (APRN)
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:FEDERICO
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:11148 ROBIN PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-7598
Mailing Address - Country:US
Mailing Address - Phone:702-545-7007
Mailing Address - Fax:
Practice Address - Street 1:10624 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2982
Practice Address - Country:US
Practice Address - Phone:702-551-9085
Practice Address - Fax:702-407-7016
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN002589363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care