Doctor Name: | ANNA GIEMZA-PALMER |
NPI Number: | 1427415553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 36113.1478 |
Business Practice Address: | 2705 E 17th St Ammon, ID - 834066601 |
Business Phone Number: | 2083467500 |
Business Fax Number: | 2084412208 |
Mailing Address: | Po Box 611, VICTOR |
State: | ID |
Postal Code: | 834550611 |
Phone Number: | 7016106293 |
Fax Number: | 2084412208 |
NPI Enumeration Date: | 01/20/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 36113.1478 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |