Provider Demographics
NPI:1053872861
Name:PALACIOS, BRITTANY ANN (PMHNP: BC)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ANN
Last Name:PALACIOS
Suffix:
Gender:F
Credentials:PMHNP: BC
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP: BC
Mailing Address - Street 1:85 WASHINGTON ST. APT 2202
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762
Mailing Address - Country:US
Mailing Address - Phone:774-331-5995
Mailing Address - Fax:
Practice Address - Street 1:18 ORIOLE ST
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916-1513
Practice Address - Country:US
Practice Address - Phone:774-254-3761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN61692163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health