Individual
DR. GINA MARIE PALAZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
800 E. CARPENTER ST., SPRINGFIELD, IL 62701-6270
(217) 544-6464
(314) 362-1185
Mailing address
800 E. CARPENTER ST., C B 8054, SPRINGFIELD, IL 62701-1010
(217) 544-6464
(314) 747-5157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010493
IL
363LA2100X
Acute Care Nurse Practitioner
2012039953
MO
Other
Enumeration date
11/06/2012
Last updated
02/17/2025
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