Individual
TINA MARIE DOMINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP, AGNP-C
Contact information
Practice address
345 SAINT PAUL ST, BALTIMORE, MD 21202-2123
(410) 332-9000
Mailing address
825 DRAKE LN, SEVERN, MD 21144-2797
(301) 247-0098
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R195420
MD
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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