Individual provider · Type 1 NPI

Nicole Domanico

Physician Assistant · Norfolk, VA

NPI number 1972414142 Active

Practice location

830 Kempsville Rd
Norfolk, VA 23502-3920

Mailing address

6379 Center Dr
Norfolk, VA 23502-4102

Other practice locations

  • 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 · (757) 395-8000
  • 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 · (757) 507-1000
  • 2800 Godwin Blvd, Suffolk, VA 23434-8038 · (757) 934-4000
  • 800 Independence Blvd, Virginia Beach, VA 23455-6005 · (757) 363-6100
  • 600 Gresham Dr, Norfolk, VA 23507-1904 · (757) 388-3000
  • 3920A Bridge Rd, Suffolk, VA 23435-1117 · (757) 467-5967

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972414142

Nicole Domanico's National Provider Identifier is 1972414142, issued on Sep 15, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Norfolk, VA. The record was last updated on Sep 15, 2026.