Wanda Inez Dominic in Baltimore - Licensed Practical Nurse

Wanda Inez Dominic - NPI 1811180474

Wanda Inez Dominic is a Licensed Practical Nurse in Baltimore, Maryland. Wanda Inez Dominic practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Wanda Inez Dominic is 1811180474. The last update date is 2007-08-27.

Wanda Inez Dominic's current location address is 1918 Druid Hill Ave, Baltimore, Maryland. You can contact this provider via phone number 4438723533 and fax number 4438723533. The mailing address for Wanda Inez Dominic is 1918 Druid Hill Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Wanda Inez Dominic
Address 1918 Druid Hill Ave, Baltimore, Maryland
Phone Number 4438723533
Fax Number 4438723533
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1811180474
Provider Enumeration Date 2007-08-27
Last Updated Date 2007-08-27

Provider Mailing Address Detail

Address 1918 Druid Hill Ave
City Baltimore
State Maryland (MD)
Post Code 212173502
Phone Number 4438723533
Fax Number 4438723533

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No LP40543
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Wanda Inez Dominic

What is the unique 10-digit identification code assigned to Wanda Inez Dominic by the Centers for Medicare & Medicaid Services?

The Wanda Inez Dominic has been issued the NPI (National Provider Identifier) 1811180474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wanda Inez Dominic is physically located?

The Wanda Inez Dominic is situated at the following address: 1918 Druid Hill Ave, Baltimore, MD 212173502.

What is the area of specialization for Wanda Inez Dominic, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Wanda Inez Dominic is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.

On what date did the Wanda Inez Dominic receive the assignment of its 1811180474 from the Centers for Medicare & Medicaid Services?

The Wanda Inez Dominic was issued its 1811180474 by the Centers for Medicare & Medicaid Services on 2007-08-27.

As of what date were the details pertaining to Wanda Inez Dominic last refreshed?

The information related to the Wanda Inez Dominic, including its address, specialty, and other relevant details, was last updated on 2007-08-27.

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