ANNIE ROSE PALMER NP NPI 1083169064

NPI Information

  • NPI: 1083169064
  • Provider Name: ANNIE ROSE PALMER, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2640 MARTIN LUTHER KING JR WAY
    BERKELEY, CA
    ZIP 94704
  • Phone: (510) 981-5290

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NPI Details

Annie Rose Palmer, NP is a psychiatric/mental health nurse practitioner in Berkeley, CA. Annie Rose Palmer, NP NPI is 1083169064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA
ZIP 94704-238
Phone: (510) 981-5290
Fax: (510) 981-5265

The NPI 1083169064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2016 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily21227CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health21227CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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