Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. AMANDA LYNNE DOMINGUEZ, RN,CWOCN
Active Sole ProprietorMRS. AMANDA LYNNE DOMINGUEZ, RN,CWOCN is a Psych/Mental Health, Child & Adolescent Nurse healthcare provider located in COLLEGE STATION, Texas. NPI 1568297265 is currently active in the NPPES registry. Verify at CMS.
Psych/Mental Health, Child & Adolescent Nurse · COLLEGE STATION, TX
Registration Details
- NPI Number
- 1568297265
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2024 (1.7599414591165 yrs)
- Last Updated
- Sep 4, 2024
- Licenses
-
791866 (TX)791866 (TX)791866 (TX)791866 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5164 STRAUB RDCOLLEGE STATION, TX, 778456952Browse TX providers · Browse ZIP 77845
- Phone
- 9796762154
- Primary Specialty
-
Psych/Mental Health, Child & Adolescent Nurse
163WX1500X
- Additional Specialty
- Enterostomal Therapy Nurse
- Additional Specialty
- Wound Care Nurse
- Additional Specialty
- Psych/Mental Health, Child & Adolescent Nurse
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.