Provider Demographics
NPI:1255772463
Name:PALMENTERA, DEBORAH HALINA (LPN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:HALINA
Last Name:PALMENTERA
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 GRANTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4005
Mailing Address - Country:US
Mailing Address - Phone:216-741-3235
Mailing Address - Fax:216-741-3235
Practice Address - Street 1:1911 GRANTWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134
Practice Address - Country:US
Practice Address - Phone:216-741-3235
Practice Address - Fax:216-741-3235
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN104344373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist