Individual
MARA E DOMINICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1200 S CEDAR CREST BLVD FL 3, ALLENTOWN, PA 18103-6202
(610) 402-8355
(610) 402-2877
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN639232
PA
363L00000X
Nurse Practitioner
SP018124
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018124
PA
Other
Enumeration date
09/20/2017
Last updated
02/24/2025
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