Individual provider · Type 1 NPI
Lissette Dominguez, APRN
Family Nurse Practitioner · Miami, FL
NPI number
1710505482
Active
Practice location
11126 NW 4th Ter
Miami, FL 33172-3639
Mailing address
12159 SW 132nd Ct
Miami, FL 33186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11006296 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1710505482
Lissette Dominguez, APRN's National Provider Identifier is 1710505482, issued on Jul 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami, FL. The record was last updated on Jul 9, 2020.