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

Dominique Thaxton

Individual provider Contractor · NPI 1518799352

Dominique Thaxton is a Contractor in Saint Paul, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

540 Fairview Ave N
Saint Paul, MN 55104-1753
Phone: (952) 688-7308
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1518799352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6113 W Broadway Ave Apt 326, New Hope, MN 55428-3111

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