National Provider Identifier
Nicole Elise Dominach, DNP, APRN, AGPCNP-BP
Nicole Elise Dominach, DNP, APRN, AGPCNP-BP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 242-1300.
Profile Overview
- NPI
- 1851916431
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- June 10, 2020
- Last Updated
- May 18, 2023
Practice Location
- 601 Elmwood Ave.
- Rochester, NY 14642-0001
Phone: (585) 242-1300
Mailing Address
- 601 Elmwood Ave Box 604
- Rochester, NY 14642-0001
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Registered Nurse (163W00000X)
Endpoints
- nicole.dominach@moffitt.org
Direct Messaging Address | H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc. | Tampa, FL 33612
Full Record
- NPI
- 1851916431
- Entity Type
- Individual
- Last Name
- Dominach
- First Name
- Nicole
- Middle Name
- Elise
- Name Prefix
- Dr.
- Credential
- DNP, APRN, AGPCNP-BP
- Mailing Street Address
- 601 Elmwood Ave Box 604
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-1385
- Practice Street Address
- 601 Elmwood Ave.
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 242-1300
- Practice Fax
- (585) 473-5007
- Enumeration Date
- June 10, 2020
- Last Updated
- May 18, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Registered Nurse (163W00000X)