Provider Demographics
NPI:1790372381
Name:PALMER, BARB
Entity Type:Individual
Prefix:MRS
First Name:BARB
Middle Name:
Last Name:PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2896 TOWNSHIP ROAD 7
Mailing Address - Street 2:
Mailing Address - City:BRINKHAVEN
Mailing Address - State:OH
Mailing Address - Zip Code:43006-9214
Mailing Address - Country:US
Mailing Address - Phone:330-763-4038
Mailing Address - Fax:
Practice Address - Street 1:2896 TOWNSHIP ROAD 7
Practice Address - Street 2:
Practice Address - City:BRINKHAVEN
Practice Address - State:OH
Practice Address - Zip Code:43006-9214
Practice Address - Country:US
Practice Address - Phone:330-763-4038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker