Individual
DANELLE RENEE DOMINIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 541-1758
Mailing address
4291 ROCKY RIVER DR, CLEVELAND, OH 44135-1969
(330) 383-1156
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN.CNP.0036354
OH
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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