Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHY L DOMIANO, FNP
ActivePrimary Care Nurse Practitioner · AVA, MO
Registration Details
- NPI Number
- 1265627970
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2007 (18.64315743812 yrs)
- Last Updated
- Mar 6, 2008
- License
-
154500 (MO)
Practice Information
- Address
-
504 NW 10TH AVEAVA, MO, 65608Browse MO providers · Browse ZIP 65608
- Phone
- 4176834831
- Fax
- 4176831602
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in AVA, MO
| Name | Credential | NPI |
|---|---|---|
| VANESSA KAY LOFTIS | FNP | 1407445141 |
| MCKENNA GLYN MADCHE | FNP | 1093513087 |
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.