Individual provider · Type 1 NPI
Joanna Beth Dominick, DNP, PMHNP-BC, FNP-C
Psychiatric/Mental Health Nurse Practitioner · Durango, CO
NPI number
1174788145
Active
Practice location
72 Suttle St, Suite B
Durango, CO 81303
Fax (630) 647-4726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.005295-NP (CO) |
| Family Nurse Practitioner | 363LF0000X | APN.005295-NP (NM) |
| Family Nurse Practitioner | 363LF0000X | 5295 (CO) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.005295-NP (NM) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5295 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN.005295-NP (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1174788145
Joanna Beth Dominick, DNP, PMHNP-BC, FNP-C's National Provider Identifier is 1174788145, issued on Jul 18, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Durango, CO. The record was last updated on May 8, 2023.