Dominique Elycia Sturdivant, RN
Dominique Elycia Sturdivant, RN is a Certified Registered Nurse Anesthetist (CRNA) in Bethlehem, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 4
- Licensed in
- PA
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- RN — Registered Nurse
- A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
Practice location Address checks out
801 Ostrum StBethlehem, PA 18015-1000
Phone: (484) 426-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence RN660911 (PA) |
|---|---|
| Pediatric Registered Nurse | Taxonomy 163WP0200X · Licence RN660911 (PA) |
Record details
| NPI number | 1144952193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2022 |
| Last updated in NPPES | November 25, 2022 |
| Certification date | November 25, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Lehigh Valley Physician Group — 2493 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |