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

Mrs. Ashley Domin, LPN

Individual provider Licensed Practical Nurse · NPI 1619685922

Mrs. Ashley Domin, LPN is a Licensed Practical Nurse in Grandville, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

3584 Fairlanes Ave SW
Grandville, MI 49418-1583
Phone: (616) 222-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703124447 (MI)

Record details

NPI number1619685922
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 3, 2022

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