Provider Demographics
NPI:1124695333
Name:PALMER, MADELYNN NEVA
Entity type:Individual
Prefix:
First Name:MADELYNN
Middle Name:NEVA
Last Name:PALMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 BEECHER ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3914
Mailing Address - Country:US
Mailing Address - Phone:419-490-4739
Mailing Address - Fax:
Practice Address - Street 1:2230 IVY LN
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-7507
Practice Address - Country:US
Practice Address - Phone:419-490-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide