Provider Demographics
NPI:1831168590
Name:CURCIO, DONELLA S (PAC)
Entity type:Individual
Prefix:
First Name:DONELLA
Middle Name:S
Last Name:CURCIO
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 NW ANDERSON HILL RD STE 219
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9161
Mailing Address - Country:US
Mailing Address - Phone:360-698-6859
Mailing Address - Fax:360-337-7403
Practice Address - Street 1:3505 NW ANDERSON HILL RD STE 201
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9161
Practice Address - Country:US
Practice Address - Phone:360-698-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10004871363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8428914Medicaid
WA6882ADOtherREGENCE BLUE SHIELD
WA198993OtherSTATE WRKS COMP
WA8854933Medicare ID - Type Unspecified
WA8428914Medicaid