Palm, Vicki Sue

Palm, Vicki Sue is an individual health care provider with primary practice located at 228 E 2Nd St , Ottumwa IA 52501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Palm, Vicki Sue can be contacted via phone (641) 682-9955.

Contact Information

Primary practice address
228 E 2Nd St Ottumwa IA 52501
Phone: (641) 682-9955
Fax: (641) 682-9946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F078437 Iowa

Profile Details

NPI number 1295707370
LBN Legal business name Palm, Vicki Sue
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jun 30th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295707370 NPPES
Iowa Other 235221 MIDLANDS CHOICE
Iowa MEDICAID 0095232 MIDLANDS CHOICE
Iowa Other 21345 MIDLANDS CHOICE

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