Individual
JANET E DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
3001 GEORGIA ST NE, ALBUQUERQUE, NM 87110-2620
(505) 226-1273
(505) 396-4007
Mailing address
P.O. BOX 130, SAN FIDEL, NM 87049-0130
(505) 552-5300
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02792
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
11/03/2015
Last updated
07/30/2025
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