| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATELYN PACOCHA | 1386376762 | 2022-10-03 |
Katelyn Pacocha is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386376762. Registration indicates Katelyn Pacocha is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Neonatal, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Neonatal, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Katelyn Pacocha |
| Practice Office Address | 1005 JOE DIMAGGIO DR HOLLYWOOD, FL US |
| Practice Office Telephone | 4845744554 |
| Mailing Address | 6049 WINDING LAKE DR JUPITER, FL 334583777 US |
| Business Telephone | 4845744554 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 363LN0000X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Neonatal All Other Specialties & Provider Types Nurse Practitioner Neonatal Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 11021525
FL |