Individual provider · Type 1 NPI

Ardee Butac Domingo, FNP-C

Nurse Practitioner · Laguna Hills, CA

NPI number 1902668833 Active

Practice location

27001 Moulton Pkwy
Laguna Hills, CA 92656-3600

Mailing address

167 Valley View Ter
Mission Viejo, CA 92692-4088

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95027092 (CA)

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…

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About NPI 1902668833

Ardee Butac Domingo, FNP-C's National Provider Identifier is 1902668833, issued on Jan 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Laguna Hills, CA. The record was last updated on Jan 25, 2024.