Individual
MS. APRIL DOMINGUEZ URQUIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 588-5815
Mailing address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 588-5815
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201600952NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60486237
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
05
—
096511
—
OR
Enumeration date
06/29/2014
Last updated
03/17/2018
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