Dominique Burrell, is a
Licensed Practical Nurse based in Speedway, Indiana. Dominique Burrell is licensed to practice in Indiana (license number 27057705A) and her current practice location is
2225 White Oaks Dr, Speedway, Indiana. She can be reached at her office (for appointments etc.) via phone at
(317) 247-9095.
NPI number for Dominique Burrell is 1255537387 and her current mailing address is 2225 White Oaks Dr, Speedway, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255537387.
Provider's Profile
Full Name | Dominique Burrell |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2225 White Oaks Dr, Speedway, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255537387
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dominique Burrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255537387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 27057705A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique Burrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dominique Burrell, 2225 White Oaks Dr, Speedway, IN 46224-3914 Ph: () - | Dominique Burrell, 2225 White Oaks Dr, Speedway, IN 46224-3914 Ph: (317) 247-9095 |
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