Provider Demographics
NPI:1376999854
Name:PALMER, NANCY (MSA)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:MSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19284 STATE ROUTE 525
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-8775
Mailing Address - Country:US
Mailing Address - Phone:360-348-5155
Mailing Address - Fax:
Practice Address - Street 1:19284 STATE ROUTE 525
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-8775
Practice Address - Country:US
Practice Address - Phone:360-348-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist