Individual
DR. ELISSA J PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
(702) 992-6880
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-7118
(702) 992-6880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11861
NV
207Q00000X
Family Medicine Physician
MD056289L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015405270004
—
PA
01
—
080097534
RAILROAD MEDICARE
—
01
—
1546798
GATEWAY HEALTH PLAN OB
PA
01
—
203248
UPMC HEALTH PLAN
PA
01
—
20660
GEISINGER HEALTH PLAN
PA
01
—
644803
HIGHMARK BC/BS
PA
01
—
74016
UNISON HEALTH PLAN
PA
01
—
85662
UNISON HEALTH PLAN OB
PA
01
—
E23649
UPIN
—
01
—
P000241
GATEWAY HEALTH PLAN
PA
Enumeration date
05/16/2006
Last updated
05/26/2020
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