Provider Demographics
NPI:1699902957
Name:PALAZZO, MICHAEL JOSEPH (PHD, APRN)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:PALAZZO
Suffix:
Gender:M
Credentials:PHD, APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:37 S WENATCHEE AVE STE F308
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2255
Mailing Address - Country:US
Mailing Address - Phone:808-909-2003
Mailing Address - Fax:808-909-2004
Practice Address - Street 1:197 SAND ISLAND ACCESS RD STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4901
Practice Address - Country:US
Practice Address - Phone:808-533-3936
Practice Address - Fax:808-587-6070
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-14
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI183364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult