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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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