Sandra Jean Palmer, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Colchester, VT
NPI 1053559286 · NPPES record last updated Jan 26, 2009
Key facts
- NPI
- 1053559286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 101-0011263 (VT)
- Practice address
- 2032 Roosevelt Hwy
Box 283
Colchester, VT 05446-7233 - Phone
- (802) 879-6406
- NPI assigned
- Jan 26, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 101-0011263 | VT | Yes |
Addresses
Primary practice location
2032 Roosevelt Hwy
Box 283
Colchester, VT 05446-7233
Mailing address
2032 Roosevelt Hwy
Box 283
Colchester, VT 05446-7233
Phone (802) 879-6406
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04288510 | Other | CIGNA | |
| ONP 1617 | Medicaid | VT | |
| LLV398 | Other | MVP | |
| 38169 | Other | BCBS | |
| ANP 1617 | Other | MEDICARE |
Other providers in Colchester, VT
- Charles Osler
- Brianna Leigh Owen
- Pace Vermont, Inc
- Kenneth Palm
- Brooke Bessette Palmer
- Mary Val Palumbo
- Theresa Marie Paquin
- Ami Ariel Parke
- Steven R Partilo
- Marta Parys
All providers in Colchester, VT · Adult Health Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.