Individual provider · Type 1 NPI

Kelly Dominski, APNP

Nurse Practitioner · West Allis, WI

NPI number 1083984868 Active

Practice location

8901 W Lincoln Ave
West Allis, WI 53227-2409

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X170180-30 (WI)
Nurse Practitioner Primary 363L00000X5166 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083984868

Kelly Dominski, APNP's National Provider Identifier is 1083984868, issued on Jan 10, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Allis, WI. The record was last updated on Dec 1, 2021.