Individual
BETH ROBIN DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3914 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 216-3800
(941) 216-3703
Mailing address
3914 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 216-3800
(941) 216-3703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11000073
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11000073
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11000073
FL
Other
Enumeration date
11/14/2018
Last updated
02/09/2022
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