Doctor Name: | MS. SANDRA JEAN PALMER |
NPI Number: | 1053559286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 101-0011263 |
Business Practice Address: | 2032 Roosevelt Hwy Box 283 Colchester, VT - 054467233 |
Business Phone Number: | 8028796406 |
Business Fax Number: | |
Mailing Address: | 2032 Roosevelt Hwy, Box 283 COLCHESTER |
State: | VT |
Postal Code: | 054467233 |
Phone Number: | 8028796406 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 01/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 101-0011263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |