Provider / Organization | NPI | Date Certified |
---|---|---|
AMANDA MAUREEN PALAZZOLO | 1689342461 | 2021-11-21 |
Amanda Maureen Palazzolo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689342461. Registration indicates Amanda Maureen Palazzolo is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Amanda Maureen Palazzolo DNP, FNP-C |
Practice Office Address | 1300 S COUNTRY CLUB DR STE 3 MESA, AZ US |
Practice Office Telephone | 4808275500 |
Mailing Address | 1300 S COUNTRY CLUB DR STE 3 MESA, AZ 852105162 US |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 258833
AZ |