IndividualActive
Dominique Caporusso, PA-C
NPI 1225697329 · Medical Physician Assistant · Erlanger, KY
Provider details
- NPI number
- 1225697329
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- TC835 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
650 Sprucewood Ln
Erlanger, KY 41018-1062
Phone: (859) 282-6600
Approximate (ZIP-level) locationGet directions
Mailing address
22 Casagrande St
Fort Thomas, KY 41075-4023
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2022-01-17
- Certified
- 2022-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.