Provider Demographics
NPI:1609894096
Name:PALMERIO, ROSEMARIE CEVALLOS (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:CEVALLOS
Last Name:PALMERIO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 BARBERRY DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-1201
Mailing Address - Country:US
Mailing Address - Phone:610-828-4653
Mailing Address - Fax:
Practice Address - Street 1:4105 BARBERRY DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1201
Practice Address - Country:US
Practice Address - Phone:610-828-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP004453C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health