Dominguez, Donna L

Dominguez, Donna L is an individual health care provider with primary practice located at 75 Pringle Way Suite 705, Reno NV 89502-1464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dominguez, Donna L can be contacted via phone (775) 329-0333.

Contact Information

Primary practice address
75 Pringle Way Suite 705 Reno NV 89502-1464
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN00537 Nevada

Profile Details

NPI number 1255386181
LBN Legal business name Dominguez, Donna L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Sep 4th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255386181 NPPES
Nevada MEDICAID 002416003
Nevada Other 880167036A018
Nevada Other NV6094

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