Individual provider · Type 1 NPI
Jacob Domoracki, CRNP
Acute Care Nurse Practitioner · Erie, PA
NPI number
1245919448
Active
Practice location
232 W 25th St
Erie, PA 16544-0001
Mailing address
870 Broad St
Conneaut, OH 44030-1710
Other practice locations
- 2315 Myrtle St Ste 190, Erie, PA 16502-4604 · (814) 453-7767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN670780 (PA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | SP028313 (PA) |
Acute Care Nurse Practitioner: Definition to come...
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- Kim Marie Raines, DNP, CRNP, AGACNPAcute Care Nurse Practitioner Erie, PA NPI 1518438662
About NPI 1245919448
Jacob Domoracki, CRNP's National Provider Identifier is 1245919448, issued on Jul 14, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Erie, PA. The record was last updated on Nov 7, 2023.