Pandiscio, Catherine

Pandiscio, Catherine is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Pandiscio, Catherine can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
9555 Upland Ln N Maple Grove MN 55369-4485
Phone: (952) 831-8742
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10060 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10060 Minnesota

Profile Details

NPI number 1871522599
LBN Legal business name Pandiscio, Catherine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 5th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871522599 NPPES
Minnesota MEDICAID 682432300

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