Provider Demographics
NPI:1881254209
Name:SAVALA, PALMA MAE (RN)
Entity type:Individual
Prefix:MRS
First Name:PALMA
Middle Name:MAE
Last Name:SAVALA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:PALMA
Other - Middle Name:MAE
Other - Last Name:BOATMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14604 VIKING LN
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-1180
Mailing Address - Country:US
Mailing Address - Phone:214-952-9328
Mailing Address - Fax:
Practice Address - Street 1:14604 VIKING LN
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-1180
Practice Address - Country:US
Practice Address - Phone:214-952-9328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX969198163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse