David Anthony Dominguez, APRN
Nurse Practitioner, Psych/Mental Health in Junction City, KS. Individual provider (NPI-1).
NPI number1689772469
StatusActive
Last updated in NPPESApr 6, 2018
Details
- NPI
- 1689772469
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Anthony Dominguez
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Apr 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 112063 | NC | Yes |
Practice location
814 Caroline AveJunction City, KS 66441-5210
Phone 785-762-5250 · Fax 785-762-2144
Mailing address
814 Caroline AveJunction City, KS 66441-5210
Phone 785-762-5250 · Fax 785-762-2144
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