Michael John Palms, FNP-BC
Nurse Practitioner, Family in Fresno, CA. Individual provider (NPI-1).
NPI number1336739739
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1336739739
- Entity type
- Individual (NPI-1)
- Name
- Michael John Palms
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2021
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95016447 | CA | Yes |
| 163WG0000X | Registered Nurse, General Practice | 95058165 | CA |
Practice location
199 W Shields AveFresno, CA 93705-4102
Phone 559-225-4706
Mailing address
199 W Shields AveFresno, CA 93705-4102
Phone 559-225-4706
Other practice locations
4177 W Shaw Ave Ste 107
Fresno, CA 93722-6221
Fresno, CA 93722-6221
Phone 559-225-4706
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