Amanda Dominguez, RN,CWOCN

Individual Active
NPI 1568297265
Ostomy Care Registered Nurse College Station, TX

NPI 1568297265 belongs to Amanda Dominguez, RN,CWOCN, an ostomy care registered nurse with a practice location in College Station, TX. The NPI was issued on September 4, 2024, and the record was last updated in NPPES on September 4, 2024. The record lists 4 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Ostomy Care Registered Nurse Primary 163WX1500X 791866 (TX)
Continence Care Registered Nurse 163WC2100X 791866 (TX)
Enterostomal Therapy Registered Nurse 163WE0900X 791866 (TX)
Wound Care Registered Nurse 163WW0000X 791866 (TX)

Practice location

5164 Straub Rd
College Station, TX 77845-6952
Phone: (979) 676-2154

Local context

Active NPPES records list 1 provider with ostomy care registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 3 in Texas and 34 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Amanda Lynne Dominguez
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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