Provider Demographics
NPI:1710265806
Name:PALMER, MAUREEN A (RN)
Entity Type:Individual
Prefix:MISS
First Name:MAUREEN
Middle Name:A
Last Name:PALMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 HENDRICK HLS
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-5600
Mailing Address - Country:US
Mailing Address - Phone:914-282-9686
Mailing Address - Fax:914-737-4662
Practice Address - Street 1:18 HENDRICK HLS
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-5600
Practice Address - Country:US
Practice Address - Phone:914-282-9686
Practice Address - Fax:914-737-4662
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-24
Last Update Date:2011-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396179-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse