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Jennifer A Castelluccio, PAC
Physician Assistant in Maple Valley, Washington
NPI 1679561435

Jennifer A Castelluccio is a Physician Assistant based in Renton, WA. Jennifer A Castelluccio practices in Maple Valley, WA and has the professional credentials of PAC. The NPI Number for Jennifer A Castelluccio is 1679561435 and holds a License No. OA10000132 (Washington).

The current practice location address for Jennifer A Castelluccio is 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA and can be reached out via phone at 425-690-3460 and via fax at 425-690-9460.

Location: 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA, 98057-4970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679561435
Provider Name
Jennifer A Castelluccio
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA, 98057-4970
Phone Number
425-690-3460
Fax Number
425-690-9460
Provider Enumeration Date
10/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1016090 05 WA
institution
Provider Business Practice Location Address Details
Address
26458 Maple Valley Black Diamond Rd Se
City
Maple Valley
State
Washington
Zip
98038
Phone Number
425-690-3460
Fax Number
425-690-9460
person
Provider Business Mailing Address Details
Address
26458 Maple Valley Black Diamond Rd Se
City
Maple Valley
State
Washington
Zip
98038
Phone Number
425-690-3460
Fax Number
425-690-9460
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
OA10000132 (Washington)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
OA10000132 (Washington)
Definition
Definition to come...
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