Individual provider · Type 1 NPI

Nicole Ann Domino, R.N.

Registered Nurse · Lake George, NY

NPI number 1548465180 Active

Practice location

22 Michelli Rd
Lake George, NY 12845-5806

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X455904-1 (NY)

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 1548465180

Nicole Ann Domino, R.N.'s National Provider Identifier is 1548465180, issued on Jun 15, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lake George, NY. The record was last updated on Oct 3, 2026.