Provider Demographics
NPI:1740952928
Name:PALMER, ERIN MARIE (DNP, ACNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:PALMER
Suffix:
Gender:F
Credentials:DNP, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84103-3606
Mailing Address - Country:US
Mailing Address - Phone:385-262-5404
Mailing Address - Fax:
Practice Address - Street 1:727 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84103-3606
Practice Address - Country:US
Practice Address - Phone:385-262-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9523473-4405363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care