Doctor Name: | MRS. NATALIE ADA DOMINGUEZ |
NPI Number: | 1700123494 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN175037 |
Business Practice Address: | Hwy 160/163 Building Ka-2010 Kayenta, AZ - 860330368 |
Business Phone Number: | 9286974100 |
Business Fax Number: | 9286974029 |
Mailing Address: | Po Box 368, Hwy 160/163 Building Ka-2010 KAYENTA |
State: | AZ |
Postal Code: | 860330368 |
Phone Number: | 9286974100 |
Fax Number: | 9286974029 |
NPI Enumeration Date: | 01/15/2013 |
NPI Last Update Date: | 01/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | RN175037 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |