DOMINIQUE BUMANGLAG SULLANO NPI 1265142384

NPI Information

NPI: 1265142384
Provider Name: DOMINIQUE BUMANGLAG SULLANO
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202
Phone: (248) 817-7597
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Dominique Bumanglag Sullano is a psychiatric/mental health registered nurse in Detroit, MI. Dominique Bumanglag Sullano NPI is 1265142384. 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:

707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202-943
Phone: (248) 817-7597

The enumeration date for this NPI number is 11/29/2022 and was last updated on 1/23/2024.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	4704204783	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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