Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE BURRELL
Active Sole ProprietorDOMINIQUE BURRELL is a Licensed Practical Nurse healthcare provider located in SPEEDWAY, Indiana. NPI 1255537387 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SPEEDWAY, IN
Registration Details
- NPI Number
- 1255537387
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2007 (19.163787994187 yrs)
- Last Updated
- Jul 8, 2007
- License
-
27057705A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2225 WHITE OAKS DRSPEEDWAY, IN, 462243914Browse IN providers · Browse ZIP 46224
- Phone
- 3172479095
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.