Provider Demographics
NPI:1760109326
Name:PALMER, MONICA (GNA/CNA)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:GNA/CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 TRUMAN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2584
Mailing Address - Country:US
Mailing Address - Phone:410-322-7545
Mailing Address - Fax:
Practice Address - Street 1:109 TRUMAN ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2584
Practice Address - Country:US
Practice Address - Phone:410-322-7545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00032124376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide