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NPI Code Detail

MEDICARE: DR. DOMINIQUE HOOVER DNP, APRN

MEDICARE: DR. DOMINIQUE HOOVER DNP, APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse141455KS

General Provider Information

NPI Number : 1770428161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOMINIQUE HOOVER DNP, APRN
Provider Business Mailing Address
First Line : 612 N WHITE DR
Second Line :
City : GARDNER
State : KS
Zip : 66030-1471
Country : US
Telephone Number : 785-577-4309
Fax Number : 785-577-4309
Provider Business Practice Location Address
First Line : 325 MAINE ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66044-1360
Country : US
Telephone Number : 785-505-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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