Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Etienne, PA-C

Individual provider Physician Assistant · NPI 1750710315

Dominique Etienne, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2013.

Licensed in
NJ, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1603 E Wadsworth Ave
Philadelphia, PA 19150-1019
Phone: (215) 242-2439
Fax: (215) 242-2596
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA056503 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00317800 (NJ)

Record details

NPI number1750710315
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2013
Last updated in NPPESJune 5, 2015

Other providers in Philadelphia