Provider Demographics
NPI:1205817483
Name:PACOCHA, CATHERINE WHERRY (MPAS PA-C)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:WHERRY
Last Name:PACOCHA
Suffix:
Gender:F
Credentials:MPAS PA-C
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LEE
Other - Last Name:WHERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPAS PA-C
Mailing Address - Street 1:940 CENTRAL PARK DR STE 210
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8853
Mailing Address - Country:US
Mailing Address - Phone:970-871-4811
Mailing Address - Fax:970-879-4527
Practice Address - Street 1:940 CENTRAL PARK DR STE 210
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8853
Practice Address - Country:US
Practice Address - Phone:970-871-4811
Practice Address - Fax:970-879-4527
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1540363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant