Individual provider · Type 1 NPI
Nicole Lyn Dominick, CRNP
Nurse Practitioner · Wilkes Barre, PA
Practice location
1130 Highway 315 Blvd Ste 4
Wilkes Barre, PA 18702-6952
Fax (570) 270-2692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP018244 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1306351028
Nicole Lyn Dominick, CRNP's National Provider Identifier is 1306351028, issued on Dec 4, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Dec 20, 2017.