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

Domonick Delong

Individual provider Critical Care Medicine Registered Nurse · NPI 1790618460

Domonick Delong is a Critical Care Medicine Registered Nurse in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone: (928) 771-5100
Show map & directions

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

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 333649 (AZ)

Record details

NPI number1790618460
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 4, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1003 Willow Creek Rd, Prescott, AZ 86301-1641

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