Provider Demographics
NPI:1043090715
Name:DOMINGUEZ, FRANCESCA (CRNP)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:DOMINGUEZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:FRANCESCA
Other - Middle Name:
Other - Last Name:FALQUEZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12010 LITTLE PATUXENT PKWY APT O
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4814
Mailing Address - Country:US
Mailing Address - Phone:956-222-0933
Mailing Address - Fax:
Practice Address - Street 1:7250 PARKWAY DR STE 500
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-1343
Practice Address - Country:US
Practice Address - Phone:443-949-0814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR263151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily