Individual provider · Type 1 NPI
Joseph Vincent Bautista Doromal, NP
Nurse Practitioner · Canton, GA
Practice location
111 Mountain Brook Dr
Canton, GA 30115-9045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN240795 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1891286928
Joseph Vincent Bautista Doromal, NP's National Provider Identifier is 1891286928, issued on May 24, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Canton, GA. The record was last updated on May 24, 2018.