DOMINIQUE SANDERS NURSING CORPORATION NPI 1316580665

NPI Information

NPI: 1316580665
Provider Name: DOMINIQUE SANDERS NURSING CORPORATION
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
9431 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (725) 234-2215
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DOMINIQUE SANDERS NURSING CORPORATION is a psychiatric/mental health nurse practitioner in Rancho Cucamonga, CA. DOMINIQUE SANDERS NURSING CORPORATION NPI is 1316580665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9431 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA
ZIP 91730-879
Phone: (725) 234-2215
Fax: (281) 954-0056

The provider's authorized official is Dominique Sanders .
The authorized official title is Pmhnp-bc and has the following contact phone number (725) 234-2215.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 9/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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