DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER A CASTELLUCCIO, PAC

Active

JENNIFER A CASTELLUCCIO, PAC is a Physician Assistant healthcare provider located in MAPLE VALLEY, Washington. NPI 1679561435 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MAPLE VALLEY, WA

Registration Details

NPI Number
1679561435
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2005 (20.81905764329 yrs)
Last Updated
Aug 17, 2021
Licenses
OA10000132 (WA)
OA10000132 (WA)

Practice Information

Address
26458 MAPLE VALLEY BLACK DIAMOND RD SE
MAPLE VALLEY, WA, 98038
Browse WA providers · Browse ZIP 98038
Phone
4256903460
Fax
4256909460
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MAPLE VALLEY, WA

Name Credential NPI
JOHN A TOMCHICK PA-C 1770525537
CONSTANCE P HOOD PAC 1447342027
VALERIE JILL MAZZIOTTI PAC 1841341450
MRS. CRYSTAL E CZAPLICKI PA-C 1689974305
AARON VON KRUEGER 1083012900
SARAH MUN PA-C 1528559457
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.