Individual
TERRY WAYNE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 622-1959
(207) 430-4007
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086491-23
NH
367500000X
Certified Registered Nurse Anesthetist
R071305
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139749
—
NH
01
—
P00145110
RAILROAD MEDICARE
ME
Enumeration date
12/02/2005
Last updated
03/04/2025
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