Domino, Sierra
Domino, Sierra is an individual health care provider with primary practice located at 4407 Milton Ave Ste 120 , Janesville WI 53546-9155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Domino, Sierra can be contacted via phone (815) 222-3795.Contact Information
Primary practice address
4407 Milton Ave Ste 120
Janesville WI 53546-9155
Phone: (815) 222-3795
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209026959 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1392633 | Wisconsin |
Profile Details
| NPI number | 1609565324 |
|---|---|
| LBN Legal business name | Domino, Sierra |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2023 |
| Last updated | May 8th, 2023 - about last year |
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.
Popular Providers
-
Schleicher, Susan Lea
1010 N Washington St , Janesville WI 53548-1500 -
Cheatham, Katlin Elizabeth
1000 Mineral Point Ave , Janesville WI 53548-2982 -
Green, Jessica L.
1000 Mineral Point Ave , Janesville WI 53548-2940 -
Bonaccorsi, Mary T.
903 Mineral Point Ave , Janesville WI 53548-2970 -
Kostantacos, Maria
1010 N Washington St , Janesville WI 53548-1500 -
Sanderson, Veronica
3200 E Racine St , Janesville WI 53546-2343 -
Garrett, Brenda L
3524 E Milwaukee St , Janesville WI 53546-1626 -
Daniels, Tambra Renee
1820 Center Ave , Janesville WI 53546-2802