Individual
MARK A PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1246 SUNSET HILL RD, WILLISTON, VT 05495-9648
(518) 524-4811
(802) 878-6787
Mailing address
1246 SUNSET HILL RD, WILLISTON, VT 05495-9648
(518) 524-4811
(802) 878-6787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
059130-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
101-0018823
VT
367500000X
Certified Registered Nurse Anesthetist
393924-1
NY
367500000X
Certified Registered Nurse Anesthetist
RN281492
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009655
—
VT
Enumeration date
02/07/2007
Last updated
08/11/2009
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