Individual
DONNA L DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
75 PRINGLE WAY, SUITE 705, RENO, NV 89502-1464
(775) 329-0333
Mailing address
75 PRINGLE WAY, SUITE 705, RENO, NV 89502-1464
(775) 329-0333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN00537
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002416003
—
NV
01
—
880167036A018
TRICARE
NV
01
—
NV6094
BLUE CROSS BLUE SHIELD
NV
Enumeration date
05/22/2006
Last updated
09/04/2012
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