Individual provider · Type 1 NPI

Domonique Wong

Family Nurse Practitioner · Mayfield Heights, OH

NPI number 1497200455 Active

Practice location

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCNP.019628 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1497200455

Domonique Wong's National Provider Identifier is 1497200455, issued on Aug 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mayfield Heights, OH. The record was last updated on Oct 23, 2019.