Individual
COURTNEY R DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
16611 S 40TH ST, SUITE 180, PHOENIX, AZ 85048-0562
(480) 785-2100
(480) 785-2111
Mailing address
2545 W FRYE RD, SUITE 9, CHANDLER, AZ 85224-6273
(480) 505-4258
(480) 275-8346
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP7646
AZ
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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