Provider Demographics
NPI:1497398374
Name:PALAZZOLO, BRITTANY (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PALAZZOLO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 E PARIS AVE SE STE 220
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-6142
Mailing Address - Country:US
Mailing Address - Phone:616-685-3100
Mailing Address - Fax:616-685-3111
Practice Address - Street 1:2155 E PARIS AVE SE STE 220
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6142
Practice Address - Country:US
Practice Address - Phone:616-548-6161
Practice Address - Fax:616-280-5926
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704313941363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner