Individual
PROF. ANGELIQUE LYNN DOMONOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
690 S LOOP 336 W STE 200, CONROE, TX 77304-3320
(832) 233-2270
Mailing address
2204 JEFFERSON CROSSING DR, CONROE, TX 77304-6804
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP143324
TX
363LA2100X
Acute Care Nurse Practitioner
AP143324
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP143324
TX
Other
Enumeration date
10/07/2019
Last updated
04/17/2024
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