Individual provider · Type 1 NPI

Sarah E. Dominique, APN CDE

Pediatric Clinical Nurse Specialist · Peoria, IL

NPI number 1114348620 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

1400 Flossmoor Ave
Washington, IL 61571-1108

Specialties and licenses

TaxonomyCodeLicense
Pediatric Clinical Nurse Specialist Primary 364SP0200X209010901 (IL)

Pediatric Clinical Nurse Specialist: Definition to come...

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About NPI 1114348620

Sarah E. Dominique, APN CDE's National Provider Identifier is 1114348620, issued on Dec 31, 2013. The primary taxonomy on file is Pediatric Clinical Nurse Specialist (364SP0200X), and the practice location is in Peoria, IL. The record was last updated on Dec 21, 2017.