Gabrielle Domanic-Fernandez, FNP-BC, RN
Nurse Practitioner, Family in West Lake Hills, TX. Individual provider (NPI-1).
NPI number1013768068
StatusActive
Last updated in NPPESMar 28, 2024
Details
- NPI
- 1013768068
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Domanic-Fernandez
- Credential
- FNP-BC, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2024
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1101068 | TX | Yes |
Practice location
701 S Capital Of Texas Hwy Ste Q900West Lake Hills, TX 78746-5263
Phone 512-324-6970
Mailing address
840 Lone Peak WayDripping Springs, TX 78620-2766
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