Provider Demographics
NPI:1255341137
Name:CARMALT-PALMERO, HELEN M (CRNA)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:M
Last Name:CARMALT-PALMERO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1174 NW SPRUCE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9516
Mailing Address - Country:US
Mailing Address - Phone:772-232-4907
Mailing Address - Fax:
Practice Address - Street 1:1174 NW SPRUCE RIDGE DR
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-9516
Practice Address - Country:US
Practice Address - Phone:772-232-4907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2897472367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL308720400Medicaid
FLG1869OtherBLUE CROSS
FLG1869OtherBLUE CROSS