1679561435 Jennifer A Castelluccio, PAC
Physician Assistant
Active
Basic Information
- Full Name
- Jennifer A Castelluccio, PAC
- Gender
- Female
- Enumeration Date
- October 6, 2005
- Last Update
- August 17, 2021
Practice Location
- Address
- 26458 MAPLE VALLEY BLACK DIAMOND RD SE
MAPLE VALLEY, WA 98038 - Phone
- (425) 690-3460
- Fax
- (425) 690-9460
Mailing Address
- Address
- 3600 LIND AVE SW
SUITE 100 ATTN CREDENTIALING
RENTON, WA 980574970 - Phone
- (425) 690-2715
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | OA10000132 | WA | No |
| Physician Assistant | 363A00000X | Physician Assistant | OA10000132 | WA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016090 | 05 | WA | N/A |
Digital Endpoints
FHIR Use: OTHER
https://FHIR.valleymed.org/FHIR-PRD/api/FHIR/DSTU2/
DIRECT Use: DIRECT
jcastelluccio51316@direct.valleymed.org
Frequently Asked Questions
What is Jennifer A Castelluccio, PAC's NPI number?
Jennifer A Castelluccio, PAC's NPI number is 1679561435.
Which doctor has NPI number 1679561435?
The doctor with NPI number 1679561435 is Jennifer A Castelluccio, PAC.
What is Jennifer A Castelluccio, PAC's practice address?
Jennifer A Castelluccio, PAC's practice address is 26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA, 98038.
Which doctor practices at 26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA, 98038?
Jennifer A Castelluccio, PAC practices at 26458 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA, 98038.
What is Jennifer A Castelluccio, PAC's mailing address?
Jennifer A Castelluccio, PAC's mailing address is 3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA, 980574970.
What is Jennifer A Castelluccio, PAC's phone number?
Jennifer A Castelluccio, PAC's phone number is (425) 690-3460.
Who is (425) 690-3460?
(425) 690-3460 is the phone number for Jennifer A Castelluccio, PAC.
What is Jennifer A Castelluccio, PAC's specialty?
Jennifer A Castelluccio, PAC's specialty is Physician Assistant.
What type of doctor is Jennifer A Castelluccio, PAC?
Jennifer A Castelluccio, PAC is a Physician Assistant.
Is Jennifer A Castelluccio, PAC a Physician Assistant?
Yes, Jennifer A Castelluccio, PAC is a Physician Assistant.
Is Jennifer A Castelluccio, PAC still practicing?
Yes, Jennifer A Castelluccio, PAC is currently practicing.
Is Jennifer A Castelluccio, PAC accepting new patients?
Jennifer A Castelluccio, PAC may be accepting new patients. Please call their office at (425) 690-3460 to inquire about availability.
Is NPI 1679561435 still active?
Yes, NPI 1679561435 is currently active.
Where does Jennifer A Castelluccio, PAC practice?
Jennifer A Castelluccio, PAC practices in MAPLE VALLEY, WA.
Is Jennifer A Castelluccio, PAC a male or female doctor?
Jennifer A Castelluccio, PAC is a female doctor.