Individual provider · Type 1 NPI

Alanis Guiselle Dominguez Fernandez

Psychiatric/Mental Health Registered Nurse · Provo, UT

NPI number 1205708609 Active

Practice location

1157 E 300 N
Provo, UT 84606-3539

Mailing address

750 N Freedom Blvd
Provo, UT 84601-1677

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X13506812-3102 (UT)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1205708609

Alanis Guiselle Dominguez Fernandez's National Provider Identifier is 1205708609, issued on Sep 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Provo, UT. The record was last updated on Sep 23, 2025.