Individual provider · Type 1 NPI

Ellen Grace Martinez Dominguez, APRN

Nurse Practitioner · Sebring, FL

NPI number 1659112605 Active

Practice location

5115 US Highway 27 N Ste 100
Sebring, FL 33870-1323

Fax (863) 382-8765

Mailing address

4432 Maderia Ave
Sebring, FL 33872-2126

Other practice locations

  • 146 Avenue B NW, Winter Haven, FL 33881-4506 · (863) 299-3210

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11033161 (FL)

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 1659112605

Ellen Grace Martinez Dominguez, APRN's National Provider Identifier is 1659112605, issued on Jun 4, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sebring, FL. The record was last updated on May 15, 2025.