Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mrs. Nicole Ann Domino, RN

Individual provider Registered Nurse · NPI 1548465180

Mrs. Nicole Ann Domino, RN is a Registered Nurse in Lake George, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

22 Michelli Rd
Lake George, NY 12845-5806
Phone: (518) 538-9043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 455904-1 (NY)

Record details

NPI number1548465180
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 15, 2007
Last updated in NPPESOctober 3, 2026
Certification dateOctober 3, 2026

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