Individual provider · Type 1 NPI

Sophia Lauren Domineck

Registered Nurse · Highland Park, MI

NPI number 1316703671 Active

Practice location

12501 Hamilton Ave
Highland Park, MI 48203-3243

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704350931 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1316703671

Sophia Lauren Domineck's National Provider Identifier is 1316703671, issued on Feb 26, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Highland Park, MI. The record was last updated on Feb 26, 2024.