Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEADRE L DOMER, RN
ActiveDEADRE L DOMER, RN is a Maternal Newborn Nurse healthcare provider located in HARVEY, Illinois. NPI 1760065577 is currently active in the NPPES registry. Verify at CMS.
Maternal Newborn Nurse · HARVEY, IL
Registration Details
- NPI Number
- 1760065577
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2021 (5.3173630029718 yrs)
- Last Updated
- Jul 7, 2021
- Licenses
-
041278524 (IL)041278524 (IL)
Practice Information
- Address
-
31 W 155TH STHARVEY, IL, 604263556Browse IL providers · Browse ZIP 60426
- Phone
- 7085965177
- Primary Specialty
-
Maternal Newborn Nurse
163WM0102X
- Additional Specialty
- Maternal Newborn 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.