Provider Demographics
NPI:1891402970
Name:PALACIOS, ALMA ANGELICA (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:ANGELICA
Last Name:PALACIOS
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 1:2916 ERNESTO SERNA PL
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0830
Mailing Address - Country:US
Mailing Address - Phone:915-539-5556
Mailing Address - Fax:
Practice Address - Street 1:2916 ERNESTO SERNA PL
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0830
Practice Address - Country:US
Practice Address - Phone:915-539-5556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1097204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily