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DOMINIQUE ETIENNE PA-C
NPI 1750710315
Physician Assistant in Philadelphia, PA

Active since November 04, 2013
1603 E WADSWORTH AVE, PHILADELPHIA, PA 19150(215) 242-2439(215) 242-2596 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Etienne Pa-c NPPES

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

DOMINIQUE ETIENNE PA-C (NPI 1750710315) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA056503) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1750710315
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIQUE ETIENNECredential: PA-C
Location Address1603 E WADSWORTH AVEPhiladelphia, PA 19150-1019
Mailing Address1603 E Wadsworth AvePhiladelphia, PA 19150-1019 · (215) 242-2439 · Fax (215) 242-2596
Phone(215) 242-2439
Fax(215) 242-2596
Sole ProprietorNo
Enumeration DateNovember 4, 2013
Last NPPES UpdateJune 5, 2015
✔ NPI 1750710315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA056503✔ Licensed in NJ · 25MP00317800
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1603 E WADSWORTH AVE, Philadelphia, PA 19150
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Other Providers at the Same Location NPPES 2

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

DR. DANIEL COACHI MD
Emergency Medicine
1603 E WADSWORTH AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 242-2439
PENROSE MEDICAL CENTER, INC
Clinic/Center (Primary Care)
1603 E WADSWORTH AVE
PHILADELPHIA, PA 19150
Philadelphia County (215) 242-2439

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 Dominique Etienne's NPI number?

The NPI number for Dominique Etienne is 1750710315. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Dominique Etienne located?

Dominique Etienne practices at 1603 E Wadsworth Ave, Philadelphia, PA 19150. The listed phone number is (215) 242-2439.

What is Dominique Etienne's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Dominique Etienne was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.