Johanne Richard Dominique, DNP, APRN, FNP-BC
Nurse Practitioner in Miami, FL. Individual provider (NPI-1).
NPI number1043855729
StatusActive
Last updated in NPPESSep 23, 2022
Details
- NPI
- 1043855729
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Johanne Richard Dominique
- Credential
- DNP, APRN, FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2019
- Certification date
- Jul 31, 2020
- Last updated
- Sep 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11005018 | FL | Yes |
Practice location
7900 Nw 27th Ave Ste 50Miami, FL 33147-4909
Phone 305-758-0591
Mailing address
1441 Sw 97th AvePembroke Pines, FL 33025-3685
Phone 786-210-3515
Other practice locations
838 Nw 183rd St Ste 201
Miami Gardens, FL 33169-4203
Miami Gardens, FL 33169-4203
Phone 305-760-2289
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