Individual
MS. CATHERINE ANNE DELSECCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8435 SE 68TH ST, SUITE 118, MERCER ISLAND, WA 98040-5249
(206) 232-7546
(206) 275-0805
Mailing address
8435 SE 68TH ST, SUITE 118, MERCER ISLAND, WA 98040-5249
(206) 232-7546
(206) 275-0805
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA10004561
WA
363AM0700X
Medical Physician Assistant
Primary
PA-10004561
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
LABOR AND INDUSTRIES #
WA
01
—
3743DE
BLUE SHIELD #
WA
05
—
8371676
—
WA
01
—
P00274267
RAILROAD MEDICARE #
WA
01
—
US7872525
AETNA SPECIALIST PIN
WA
Enumeration date
11/14/2006
Last updated
02/10/2009
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