Individual
HELEN DOMITROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, DNP, FNP-C
Contact information
Practice address
601 S 7TH ST, ONTONAGON, MI 49953-1448
(906) 884-8240
Mailing address
601 S 7TH ST, ONTONAGON, MI 49953-1448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704265334
MI
363LF0000X
Family Nurse Practitioner
Primary
4704265334
MI
Other
Enumeration date
06/05/2024
Last updated
10/21/2024
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