MRS. ASHLEY DOMIN LPN - NPI 1619685922 - Licensed Practical Nurse in Grandville, MI

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Mrs. Ashley Domin Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ASHLEY DOMIN LPN (NPI 1619685922) is an individual licensed practical nurse in Grandville, Michigan, licensed in Michigan (4703124447) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1619685922

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. ASHLEY DOMINCredential: LPN

Location Address3584 FAIRLANES AVE SWGrandville, MI 49418-1583

Mailing Address44 Katherine Dr NeGrand Rapids, MI 49505-4012 · (231) 652-0106

Phone(616) 222-5494

Sole ProprietorNo

Enumeration DateNovember 7, 2022

NPPES CertifiedNovember 3, 2022

✔ NPI 1619685922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703124447

Definition

A licensed practical nurse 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 responsibilities vary among the states.

3584 FAIRLANES AVE SW, Grandville, MI 49418

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