Individual
ANDREW PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1490 STATE HWY, BETHEL, AK 99559-1048
(907) 543-2110
(907) 543-0436
Mailing address
PO BOX 1048, 1490 STATE HWY, BETHEL, AK 99559-1048
(907) 543-2110
(907) 543-0436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117491
AK
163W00000X
Registered Nurse
657175
NY
Other
Enumeration date
12/07/2012
Last updated
01/09/2017
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