Individual provider · Type 1 NPI
Dominique Ann Ertolacci, NP
Nurse Practitioner · Springdale, AR
Practice location
609 W Maple Ave
Springdale, AR 72764-5335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 121999 (AR) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1386291656
Dominique Ann Ertolacci, NP's National Provider Identifier is 1386291656, issued on Aug 21, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springdale, AR. The record was last updated on Sep 17, 2019.