Provider Demographics
NPI:1558129494
Name:PALACIOS, RAQUEL N (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:N
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14556 IGOR KALERI AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-2514
Mailing Address - Country:US
Mailing Address - Phone:915-630-6292
Mailing Address - Fax:
Practice Address - Street 1:14556 IGOR KALERI AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-2514
Practice Address - Country:US
Practice Address - Phone:915-630-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1150358363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care