Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Bumanglag Sullano

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1265142384

Dominique Bumanglag Sullano is a Psychiatric/Mental Health Registered Nurse in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

707 W Milwaukee St
Detroit, MI 48202-2943
Phone: (248) 817-7597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 882 Oakman Blvd, Detroit, MI 48238-3710 — (313) 961-4890

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 4704204783 (MI)

Record details

NPI number1265142384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2022
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

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