NPI 1114348620

Sarah E Dominique, APNCDE

Practitioner Pediatric Clinical Nurse Specialist Peoria, IL

Practice location

Address: 530 NE Glen Oak Ave, Peoria, IL 61637-0001
Phone: (309) 624-2480
Mailing address: 1400 Flossmoor Ave, Washington, IL 61571-1108

Registered specialties

Pediatric Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence 209010901 (IL)

Other Clinical Nurse Specialist providers in Illinois →

Registry record

NPI: 1114348620
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2013
Record last updated: 21 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.