Individual provider · Type 1 NPI

Dominique Moreno

Family Nurse Practitioner · Summerville, SC

NPI number 1346861341 Active

Practice location

502 W 5th North St
Summerville, SC 29483-6105

Call (737) 226-6700 Map

Mailing address

3066 Tallgrass Blf
Rock Hill, SC 29732-5527

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X23773 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1346861341

Dominique Moreno's National Provider Identifier is 1346861341, issued on Apr 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Summerville, SC. The record was last updated on Dec 1, 2020.