DOMINIQUE ELY, AGACNP-BC
Nurse Practitioner - Acute Care
Active
Individual
NPI: 1629490081
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | No | 209011112 (IL) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | 209011112 (IL) |
| Nurse Practitioner - Gerontology | 363LG0600X | No | 209011112 (IL) |
| Nurse Practitioner - Acute Care | 363LA2100X | Yes | 209011112 (IL) |
Frequently Asked Questions
NPI 1629490081 is the National Provider Identifier for DOMINIQUE ELY, AGACNP-BC, a Nurse Practitioner - Acute Care provider located in Decatur, IL. This NPI was enumerated on January 20, 2014.
DOMINIQUE ELY, AGACNP-BC practices at 302 W HAY ST STE 140, Decatur, IL 62526.
Quick Facts
- NPI
- 1629490081
- Type
- Individual
- Enumerated
- Jan 20, 2014
- Last Updated
- Sep 24, 2024
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