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Dominique Marie Fatica
Family Nurse Practitioner in Lakewood, Ohio
NPI 1003517921

Dominique Marie Fatica is a Family Nurse Practitioner based in Lakewood, OH and is specialized in Family. Dominique Marie Fatica practices in Lakewood, OH. The NPI Number for Dominique Marie Fatica is 1003517921 and holds a License No. APRN.CNP.0033468 (Ohio).

The current practice location address for Dominique Marie Fatica is 11706 Clifton Blvd, Lakewood, OH and can be reached out via phone at 866-389-2727.

Location: 11706 Clifton Blvd, Lakewood, OH, 44107-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003517921
Provider Name
Dominique Marie Fatica
Credential
Provider Entity Type
Individual
Gender
Female
Address
11706 Clifton Blvd, Lakewood, OH, 44107-2018
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
03/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11706 Clifton Blvd
City
Lakewood
State
Ohio
Zip
44107-2018
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
11706 Clifton Blvd
City
Lakewood
State
Ohio
Zip
44107-2018
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN.CNP.0033468 (Ohio)
Definition
Definition to come...
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