Domena, Natalie C

Domena, Natalie C is an individual health care provider with primary practice located at 2402 Frist Blvd Ste 201 , Fort Pierce FL 34950-4838. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Domena, Natalie C can be contacted via phone (772) 460-8838.

Contact Information

Primary practice address
2402 Frist Blvd Ste 201 Fort Pierce FL 34950-4838
Phone: (772) 460-8838
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 015311 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 015311-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9107152 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107152 Florida

Profile Details

NPI number 1063782712
LBN Legal business name Domena, Natalie C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Oct 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers