Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mara E Dominici, CRNP

Individual provider Registered Nurse · NPI 1760991996

Mara E Dominici, CRNP is a Nurse Practitioner in Allentown, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1200 S Cedar Crest Blvd Fl 3
Allentown, PA 18103-6202
Phone: (610) 402-8355
Fax: (610) 402-2877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP018124 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN639232 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP018124 (PA)

Record details

NPI number1760991996
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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