Individual provider · Type 1 NPI

Wanda Inez Dominic, LPN

Licensed Practical Nurse · Baltimore, MD

NPI number 1811180474 Active

Practice location

1918 Druid Hill Ave
Baltimore, MD 21217-3502

Call (443) 872-3533 Map

Fax (443) 872-3533

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP40543 (MD)

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 1811180474

Wanda Inez Dominic, LPN's National Provider Identifier is 1811180474, issued on Aug 27, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baltimore, MD. The record was last updated on Aug 27, 2007.