Individual
MRS. DOMONIC LANE WESTERGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, PPCNP-BC
Contact information
Practice address
661 E ALTAMONTE DR, SUITE 217, ALTAMONTE SPRINGS, FL 32701-5105
(407) 339-3030
(407) 339-3003
Mailing address
661 E ALTAMONTE DR, SUITE 217, ALTAMONTE SPRINGS, FL 32701-5105
(407) 339-3030
(407) 339-3003
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN2708102
FL
Other
Enumeration date
07/09/2006
Last updated
03/15/2019
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