Susie Palmer
Individual provider Active NPI School Registered Nurse · Aztec, NM
NPI 1063950293 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1063950293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN-77802 (NM)
- Practice address
- 455 N Light Plant Rd
Aztec, NM 87410-1517 - Phone
- (505) 334-6102
- Fax
- (505) 599-4385
- NPI assigned
- Feb 8, 2017
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-77802 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN-77802 | NM | Yes |
Addresses
Primary practice location
455 N Light Plant Rd
Aztec, NM 87410-1517
Mailing address
455 N Light Plant Rd
Aztec, NM 87410-1517
Phone (505) 334-6102
Other providers in Aztec, NM
- Sid Mosiman
- Lucia Elizabeth Naranjo
- Tanya M Ober
- Josephine Snyder Olson
- Lissa Ellen Paak
- Douglas D. Parks
- Elvira Payton
- Katrina Perfect
- Physical Therapy & Sports Medicine of Northern New Mexico, Inc.
- Bryan Standley Poe
All providers in Aztec, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. 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.