Active NPIIndividual providerSole proprietor

Amanda K Domingus, APRN

Nurse Practitioner, Family in Rutland, Vermont

NPI Number1881209328
Practice location
10 Commons St, Rutland, VT 05701-4651
Fax
802-786-5204
Last updated
September 28, 2020

Amanda K Domingus is a Nurse Practitioner, Family based in Rutland, VT. Amanda K Domingus practices in Rutland, VT and has the professional credentials of APRN. The NPI Number for Amanda K Domingus is 1881209328 and holds a License No. 101.0134655 (VT). The current practice location address for Amanda K Domingus is 10 Commons St, Rutland, VT 05701-4651 and can be reached out via phone at 802-747-3359 and via fax at 802-786-5204.

Provider Profile Details

NPI Number
1881209328
Provider Name
Amanda K Domingus
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
10 Commons St, Rutland, VT 05701-4651
Phone Number
802-747-3359
Fax Number
802-786-5204
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2020
Last Update Date
September 28, 2020
Certification Date
September 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Commons St
Rutland, VT 05701-4651
State
Vermont
Zip
05701-4651
Phone Number
802-747-3359
Fax Number
802-786-5204
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
10 Commons St
Rutland, VT 05701-4651
City
Rutland
State
VT
Zip
05701-4651
Phone Number
802-747-3359
Fax Number
802-786-5204

License Information

License Number (2)
101.0134655
License State (2)
VT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda K Domingus, APRN?

The NPI number of Amanda K Domingus, APRN is 1881209328. It was assigned on September 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Amanda K Domingus, APRN?

Amanda K Domingus, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VT under license number 101.0134655.

Where does Amanda K Domingus, APRN practice?

The practice location is 10 Commons St, Rutland, VT 05701-4651. The office can be reached at 802-747-3359 (phone) or 802-786-5204 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881209328 directly on the NPPES registry website.

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