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Contact Information

GABRIELLE KATE G DOMINGO, CRNP
6232 MARKET ST
PHILADELPHIA, PA19139-2922
 Phone: 215-444-7672
 Fax: 267-627-5873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GABRIELLE KATE G DOMINGO · (Female)

NPI Number 1942076781
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 12/04/2023
Last updated 04/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # SP028749
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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