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:
Health care specialties
| Specialty | Code | License # | 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 2 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871522599 | NPPES |
| Minnesota | MEDICAID | 682432300 |
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