Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOMINIQUE CAPORUSSO, PA-C
Active Sole ProprietorDOMINIQUE CAPORUSSO, PA-C is a Medical Physician Assistant healthcare provider located in ERLANGER, Kentucky. NPI 1225697329 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ERLANGER, KY
Registration Details
- NPI Number
- 1225697329
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2019 (7.1812239986392 yrs)
- Last Updated
- Jan 17, 2022
- License
-
TC835 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
650 SPRUCEWOOD LNERLANGER, KY, 410181062Browse KY providers · Browse ZIP 41018
- Phone
- 8592826600
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ERLANGER, KY
| Name | Credential | NPI |
|---|---|---|
| DANIEL LEE MULLINS | PA-C | 1437704921 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.