IndividualActive
Casey Domine
NPI 1851990832 · Pediatric Nurse Practitioner · Lone Tree, CO
Provider details
- NPI number
- 1851990832
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 363LP0200X (CO)
Practice location
10099 Ridgegate Pkwy Ste 290
Lone Tree, CO 80124-5534
Phone: (303) 803-1005
Fax: (303) 798-3248
Mailing address
1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277
Registry dates
- Enumerated
- 2020-10-21
- Last updated
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.