Individual provider · Type 1 NPI

Marilette Dominguez Dominguez

Registered Nurse · Phoenix, AZ

NPI number 1508724014 Active

Practice location

3830 E Van Buren St
Phoenix, AZ 85008-6920

Fax (626) 756-1132

Mailing address

4126 E Montecito Ave
Phoenix, AZ 85018-4230

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X313239 (AZ)

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 1508724014

Marilette Dominguez Dominguez's National Provider Identifier is 1508724014, issued on Jan 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 13, 2026.