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Provider Information for 1801336920

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SARA DOMINIC

Gender: FEMALE

Individual NPI: 1801336920

Calendar   Last Updated:  2021-10-18
  Certification Date:  2021-10-18

Details

Name Value
NPI 1801336920
Enumeration Date 2017-03-08
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2754 COMPASS DR STE 377
GRAND JUNCTION, CO 81506-8723
United States

Phone: 970-241-2212 | Fax: 970-257-2401
View Map External Link
Primary Practice Address 2754 COMPASS DR STE 377
GRAND JUNCTION, CO 81506-8723
United States

Phone: 970-241-2212 | Fax: 970-257-2401
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363LA2200X - Nurse Practitioner Adult Health CO C-APN.0003269-C-NP
No 363LA2200X - Nurse Practitioner Adult Health FL ARNP9389415