Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLO DOMINGO, AGNP-C
ActiveCARLO DOMINGO, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in HAINESVILLE, Illinois. NPI 1194251272 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · HAINESVILLE, IL
Registration Details
- NPI Number
- 1194251272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2017 (9.2215269921208 yrs)
- Last Updated
- Oct 11, 2021
- Licenses
-
209.019378 (IL)209.019378 (IL)
Practice Information
- Address
-
4 N DEER POINT DRSTE 1002HAINESVILLE, IL, 600303814Browse IL providers · Browse ZIP 60030
- Phone
- 8479460198
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.