Janet E Dominguez, C-FNP | |
80 B Veterans Blvd, Acoma, NM 87034 | |
(505) 552-5300 | |
(505) 552-5490 |
Full Name | Janet E Dominguez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 80 B Veterans Blvd, Acoma, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093188724 | NPI | - | NPPES |
H3451 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CNP-02792 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Janet E Dominguez, C-FNP P.o. Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300 | Janet E Dominguez, C-FNP 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300 |
Ms. Hlengiwe Lindani Sibanda, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 | |
Michelle F Dubuisson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Patricia A Monroe, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Stacy-ann Shand, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-3000 | |
Ana L Tesh, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 | |
Lisa Spero, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490 |