Provider Demographics
NPI:1366209694
Name:PALMER ROWLAND, AMY GRACE (RN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:GRACE
Last Name:PALMER ROWLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8320 NE 120TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5824
Mailing Address - Country:US
Mailing Address - Phone:206-430-0561
Mailing Address - Fax:
Practice Address - Street 1:8320 NE 120TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5824
Practice Address - Country:US
Practice Address - Phone:206-430-0561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60524715163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse