Provider Demographics
NPI:1316561939
Name:PALMER, BRENDA L (CMA)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:L
Last Name:PALMER
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1914
Mailing Address - Country:US
Mailing Address - Phone:740-335-8592
Mailing Address - Fax:
Practice Address - Street 1:614 CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1914
Practice Address - Country:US
Practice Address - Phone:740-335-8592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care