| Doctor Name: | MRS. RENEE PALMER |
| NPI Number: | 1376902437 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, CNP |
| License Number: | NP-1704A |
| Business Practice Address: | 8181 N Cornerstone Dr Hayden Lake, ID - 838358752 |
| Business Phone Number: | 2087720785 |
| Business Fax Number: | |
| Mailing Address: | 8181 N Cornerstone Dr, HAYDEN |
| State: | ID |
| Postal Code: | 838358752 |
| Phone Number: | 2087720785 |
| Fax Number: | 2087622704 |
| NPI Enumeration Date: | 02/17/2016 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-1704A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |