Sarah E Dominique, APN CDE Valid NPI
Individual provider · Pediatric Clinical Nurse Specialist · Peoria, IL
- NPI
- 1114348620
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Clinical Nurse Specialist (Clinical Nurse Specialist)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 364SP0200X
- License number
- 209010901 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2013-12-31
- Last updated
- 2017-12-21
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637-0001
(309) 624-2480