LETICIA DOMINGO CRNP, RN
NPI 1275964835
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since December 09, 2013
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-4233(215) 707-8062 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leticia Domingo Crnp, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETICIA DOMINGO CRNP, RN (NPI 1275964835) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (TP005775C) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1275964835
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLETICIA DOMINGOCredential: CRNP, RN
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-4233 · Fax (215) 707-8062
Fax(215) 707-8062
Sole ProprietorNo
Enumeration DateDecember 9, 2013
Last NPPES UpdateMay 11, 2017
NPI 1275964835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · TP005775C
3401 N BROAD ST, Philadelphia, PA 19140

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leticia Domingo's NPI number?

The NPI number for Leticia Domingo is 1275964835. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is Leticia Domingo located?

Leticia Domingo practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-4233.

What is Leticia Domingo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Leticia Domingo was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.