| Ms Alenka Gloria Vale-dominguez, RN, CRNA | |
|
1102 W 32nd St, Joplin, MO 64804-3503 | |
| (417) 347-1078 | |
| (417) 347-1079 |
| Full Name | Ms Alenka Gloria Vale-dominguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023386778 | NPI | - | NPPES |
| 588012 | Other | TX | TEXAS BOARD OF NURSING LICENSE |
| 2012020017 | Other | MO | MISSOURI STATE BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2012020017 (Missouri) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 588012 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Alenka Gloria Vale-dominguez, RN, CRNA Po Box 3810, Joplin, MO 64803-3810 Ph: (417) 347-1078 | Ms Alenka Gloria Vale-dominguez, RN, CRNA 1102 W 32nd St, Joplin, MO 64804-3503 Ph: (417) 347-1078 |
Mr. Austin Boone Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Mrs. Allison Marie Lutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Jonathan Eric Drowns, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Terry W Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Julie A Burd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1078 Fax: 417-347-1079 | |
Ashley Nickole Khachi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |