Individual
MARIA S PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 ESSEX DR, PEABODY, MA 01960-2902
(978) 532-2800
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
125045
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
125045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329860
—
MA
01
—
39375
HARVARD PILGRIM
MA
01
—
NP1311
BLUE CROSS
MA
Enumeration date
04/25/2006
Last updated
08/22/2012
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