Individual provider · Type 1 NPI
Yatanell Dominique, FNP
Adult Medicine Physician · Miami Shores, FL
NPI number
1992536122
Active
Practice location
10545 NE 3rd Ct
Miami Shores, FL 33138-2009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 9393487 (FL) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1992536122
Yatanell Dominique, FNP's National Provider Identifier is 1992536122, issued on Aug 9, 2024. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Miami Shores, FL. The record was last updated on Aug 9, 2024.