Provider Demographics
NPI:1376584748
Name:DEL FIERRO, SINDY I (PA C)
Entity Type:Individual
Prefix:MS
First Name:SINDY
Middle Name:I
Last Name:DEL FIERRO
Suffix:
Gender:F
Credentials:PA C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2601 CHERRY AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-4203
Mailing Address - Country:US
Mailing Address - Phone:360-415-9110
Mailing Address - Fax:360-479-0265
Practice Address - Street 1:2601 CHERRY AVE
Practice Address - Street 2:STE 200
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-4203
Practice Address - Country:US
Practice Address - Phone:360-415-9110
Practice Address - Fax:360-479-0265
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10003359207P00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0312552OtherLABOR & IND