Provider Demographics
NPI:1487691549
Name:PALMER, AMY R (CNM)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:PALMER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:98 ELM ST STE 400
Practice Address - Street 2:PARTNERS IN HEALTH, PSC
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-1806
Practice Address - Country:US
Practice Address - Phone:812-537-9100
Practice Address - Fax:812-537-9145
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYRN1084267163W00000X
KY4325M363L00000X
IN28140312A367A00000X
KYNP4325M367A00000X
OH07404367A00000X
IN72000071A367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2535984Medicaid
KY78012853Medicaid
P91716Medicare UPIN
KY3396884Medicare PIN
KY3316384Medicare PIN
KY78012853Medicaid
KY0969482Medicare PIN