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NPI Code Detail

MEDICARE: NOE DOMINGUEZ ESPARZA

MEDICARE: NOE DOMINGUEZ ESPARZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseRN.1670967CO

General Provider Information

NPI Number : 1235098955
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOE DOMINGUEZ ESPARZA
Provider Business Mailing Address
First Line : PO BOX 3807
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81502-3807
Country : US
Telephone Number : 970-683-7211
Fax Number : 970-243-8631
Provider Business Practice Location Address
First Line : 515 28 3/4 RD BLDG F
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-5016
Country : US
Telephone Number : 970-245-4213
Fax Number : 970-243-8631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ NOE DOMINGUEZ ESPARZA ” Practice Location

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