Individual provider · Type 1 NPI
Deadre L. Domer, RN
Maternal Newborn Registered Nurse · Harvey, IL
NPI number
1760065577
Active
Practice location
31 W 155th St
Harvey, IL 60426-3556
Other practice locations
- 15620 Wood St, Harvey, IL 60426-4171 · (708) 596-5177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 041278524 (IL) |
| Maternal Newborn Registered Nurse Primary | 163WM0102X | 041278524 (IL) |
Maternal Newborn Registered Nurse: Definition to come...
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About NPI 1760065577
Deadre L. Domer, RN's National Provider Identifier is 1760065577, issued on Apr 29, 2021. The primary taxonomy on file is Maternal Newborn Registered Nurse (163WM0102X), and the practice location is in Harvey, IL. The record was last updated on Jul 7, 2021.