Palmer, Shelly Marie

Palmer, Shelly Marie is an individual health care provider with primary practice located at 14655 Galaxie Ave , Apple Valley MN 55124-8602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Palmer, Shelly Marie can be contacted via phone (651) 241-3779.

Contact Information

Primary practice address
14655 Galaxie Ave Apple Valley MN 55124-8602
Phone: (651) 241-3779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9186 Minnesota

Profile Details

NPI number 1821044843
LBN Legal business name Palmer, Shelly Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821044843 NPPES
Minnesota MEDICAID 400583000

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