Provider Demographics
NPI:1740627405
Name:PALMER, DAVID MARTIN (RN)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MARTIN
Last Name:PALMER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 100TH ST
Mailing Address - Street 2:
Mailing Address - City:GOWRIE
Mailing Address - State:IA
Mailing Address - Zip Code:50543-8003
Mailing Address - Country:US
Mailing Address - Phone:515-669-6004
Mailing Address - Fax:
Practice Address - Street 1:1889 100TH ST
Practice Address - Street 2:
Practice Address - City:GOWRIE
Practice Address - State:IA
Practice Address - Zip Code:50543-8003
Practice Address - Country:US
Practice Address - Phone:515-669-6004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA133019163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse