Individual
DOMINQUE LACATHERINE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
211 DONALD DR STE B, FAIRFIELD, OH 45014-3006
(513) 454-1111
Mailing address
PO BOX 837, HAMILTON, OH 45012-0837
(513) 454-1111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN.CNP.022247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442243
—
OH
Enumeration date
01/28/2018
Last updated
01/10/2025
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