Individual
SHIRLEY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 COUNTY ROAD H, JUNCTION CITY, WI 54443-9697
(715) 457-6694
Mailing address
2310 COUNTY ROAD H, JUNCTION CITY, WI 54443-9697
(715) 457-6694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73107-30
WI
163WH0200X
Home Health Registered Nurse
Primary
73107-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73107-30
—
WI
Enumeration date
08/13/2015
Last updated
08/13/2015
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