Individual
KATIE DOMORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 HYANNIS DR, HOLLY SPRINGS, NC 27540-8327
(919) 249-4700
Mailing address
2017 BRAEBURN DR, APEX, NC 27539-8001
(252) 723-3682
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5014999
NC
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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