Dominique Etienne, PA-C
NPI 1750710315 · Physician Assistant · Philadelphia, PA
Dominique Etienne, PA-C is a Physician Assistant provider in Philadelphia, PA (NPI 1750710315).
Provider details
- NPI number
- 1750710315
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- MA056503 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2015-06-05
Frequently asked questions
- What is Dominique Etienne's NPI number?
- Dominique Etienne's National Provider Identifier (NPI) is 1750710315, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dominique Etienne's specialty?
- Dominique Etienne is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dominique Etienne located?
- Dominique Etienne's practice location on file with NPPES is 1603 E Wadsworth Ave, Philadelphia, PA 19150-1019.
- What is Dominique Etienne's phone number?
- The practice phone number listed in the NPPES registry for Dominique Etienne is (215) 242-2439.
- Is Dominique Etienne's NPI active?
- Yes — Dominique Etienne's NPI (1750710315) is active in the NPPES registry as of the last update on 2015-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.