DOMINIQUE MICHELE WATERBURY NPI 1043773922

NPI Information

NPI: 1043773922
Provider Name: DOMINIQUE MICHELE WATERBURY
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
5400 EUPER LN
FORT SMITH, AR
ZIP 72903
Phone: (479) 755-6601
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Dominique Michele Waterbury is a driver in Fort Smith, AR. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Dominique Michele Waterbury NPI is 1043773922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5400 EUPER LN
FORT SMITH, AR
ZIP 72903-232
Phone: (479) 755-6601

The enumeration date for this NPI number is 4/9/2019 and was last updated on 4/9/2019.

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	172A00000X	Driver		928984961	ARKANSAS	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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