Dominique Ann Ertolacci
NP | Nurse Practitioner | 6+ years Exp
609 W Maple Ave, Springdale
Arkansas, 72764-5335
479-553-1000
Dominique Ann Ertolacci is a Springdale, Arkansas based nurse practitioner with 6 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dominique Ann Ertolacci is 121999 in Arkansas. Her current practice location is 609 W Maple Ave, Springdale. Patients can reach her at 479-553-1000. Dominique Ann Ertolacci is NP and her NPI number (Unique professional ID assigned by NPPES) is 1386291656.
Dominique Ann Ertolacci has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dominique Ann Ertolacci speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dominique Ann Ertolacci |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 609 W Maple Ave, Springdale,
Arkansas, 72764-5335 |
| Phone: | 479-553-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7618208661 |
| Enrollment ID: | I20191007001372 |
| NPI Number: | 1386291656 |
| NPI Enumeration Date: | 21 Aug, 2019 |
| NPI Last Update On: | 17 Sep, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dominique Ann Ertolacci are as mentioned below.
| License Number | Specialization | State | Status | |
| 121999 | | Arkansas | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (040022) | Springdale, AR | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dominique Ann Ertolacci is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| South Central Hospitalists, Llp (0547493934) | 36 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dominique Ann Ertolacci
609 W Maple Ave,
Springdale, Arkansas |
| Zip: | 72764-5335 |
| Phone Number: | 360-560-8999 |
| Fax Number: | 479-553-1000 |
Patients can reach Dominique Ann Ertolacci at
609 W Maple Ave, Springdale, Arkansas or can
call to book an appointment on 479-553-1000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.