Provider Demographics
NPI:1568278869
Name:PALMARES, REGINE LOIS (FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:REGINE
Middle Name:LOIS
Last Name:PALMARES
Suffix:
Gender:F
Credentials:FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 AVENUE D # 289
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1742
Mailing Address - Country:US
Mailing Address - Phone:206-489-6199
Mailing Address - Fax:
Practice Address - Street 1:1429 AVENUE D # 289
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1742
Practice Address - Country:US
Practice Address - Phone:206-489-6199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61638767363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care