Individual provider · Type 1 NPI

Ashley Domin, LPN

Licensed Practical Nurse · Grandville, MI

NPI number 1619685922 Active

Practice location

3584 Fairlanes Ave SW
Grandville, MI 49418-1583

Mailing address

44 Katherine Dr NE
Grand Rapids, MI 49505-4012

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703124447 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1619685922

Ashley Domin, LPN's National Provider Identifier is 1619685922, issued on Nov 7, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grandville, MI. The record was last updated on Nov 7, 2022.