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Individual

MS. SANDRA JEAN PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2032 ROOSEVELT HWY, BOX 283, COLCHESTER, VT 05446-7233
(802) 879-6406
Mailing address
2032 ROOSEVELT HWY, BOX 283, COLCHESTER, VT 05446-7233
(802) 879-6406

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101-0011263
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04288510
CIGNA
01
38169
BCBS
01
ANP 1617
MEDICARE
01
LLV398
MVP
05
ONP 1617
VT
Enumeration date
01/26/2009
Last updated
01/26/2009
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