Provider Demographics
NPI:1437529385
Name:PAVONE, CATHERINE (PA-C)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:PAVONE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:D'ELIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:44 EAST ST STE 3
Mailing Address - Street 2:
Mailing Address - City:STRAUSSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19559-7706
Mailing Address - Country:US
Mailing Address - Phone:610-488-7080
Mailing Address - Fax:610-488-9796
Practice Address - Street 1:44 EAST ST STE 3
Practice Address - Street 2:
Practice Address - City:STRAUSSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19559-7706
Practice Address - Country:US
Practice Address - Phone:610-488-7080
Practice Address - Fax:610-488-9796
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA005776363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical