Individual
NATHALY PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 466-8153
Mailing address
11781 LEE JACKSON MEMORIAL HWY, STE 550, FAIRFAX, VA 22033-3309
(571) 777-5164
(703) 890-2650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200284
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
642249-1
NY
Other
Enumeration date
03/23/2015
Last updated
11/13/2015
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