Individual
MRS. RENATTA NICOLE PALMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18926
SC
363L00000X
Nurse Practitioner
209-016828
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
18926
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7630
—
SC
Enumeration date
01/27/2015
Last updated
11/03/2021
Update your record
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