Individual provider · Type 1 NPI
Patricia Dominique, NP
Gerontology Nurse Practitioner · Boston, MA
NPI number
1760914386
Active
Practice location
801 Massachusetts Ave, Crosstown 2nd Floor
Boston, MA 02118-2605
Fax (617) 414-4676
Mailing address
720 Harrison Ave.,, Dob 503
Boston, MA 02118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | RN268854 (MA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1760914386
Patricia Dominique, NP's National Provider Identifier is 1760914386, issued on Apr 2, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boston, MA. The record was last updated on Sep 28, 2017.