Provider Demographics
NPI:1467630590
Name:PALOTAI, JUDIT K (RN CWS)
Entity Type:Individual
Prefix:MRS
First Name:JUDIT
Middle Name:K
Last Name:PALOTAI
Suffix:
Gender:F
Credentials:RN CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4432 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3553
Mailing Address - Country:US
Mailing Address - Phone:440-277-5207
Mailing Address - Fax:
Practice Address - Street 1:4432 PALM AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-3553
Practice Address - Country:US
Practice Address - Phone:440-277-5207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCWS 2809163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care