Provider Demographics
NPI:1710600440
Name:PALACIOS, APRIL LYNNE (RN)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:LYNNE
Last Name:PALACIOS
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 1:3100 DE LA CRUZ BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-2452
Mailing Address - Country:US
Mailing Address - Phone:669-313-1221
Mailing Address - Fax:855-965-0953
Practice Address - Street 1:3100 DE LA CRUZ BLVD STE 310
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-2452
Practice Address - Country:US
Practice Address - Phone:408-350-3200
Practice Address - Fax:855-965-0953
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95150240171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator