Individual
OLIVIA ANDREA DOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
26401 PACIFIC HWY S STE 101, DES MOINES, WA 98198-9247
(206) 870-3590
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60865805
WA
363L00000X
Nurse Practitioner
Primary
AP61182754
WA
363LF0000X
Family Nurse Practitioner
AP61182754
WA
Other
Enumeration date
03/30/2021
Last updated
12/27/2024
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