Provider Demographics
NPI:1730357229
Name:PALACIO, MICHAEL ANDREW (DNP, ACNP-BC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANDREW
Last Name:PALACIO
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Gender:M
Credentials:DNP, ACNP-BC
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Mailing Address - Street 1:7625 MESA COLLEGE DR STE 315A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-5343
Mailing Address - Country:US
Mailing Address - Phone:858-576-1011
Mailing Address - Fax:858-576-1025
Practice Address - Street 1:7625 MESA COLLEGE DR STE 315A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-5343
Practice Address - Country:US
Practice Address - Phone:858-576-1011
Practice Address - Fax:858-576-1025
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2021-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95004489363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care