Healthcare Provider Details

I. General information

NPI: 1467315218
Provider Name (Legal Business Name): PATRICIA FALLON CASSELLA RN, ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA FALLON GRUSCHOW RN

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 ELLIS ST
BELLINGHAM WA
98225-4905
US

IV. Provider business mailing address

1937 N 50TH ST
SEATTLE WA
98103-6829
US

V. Phone/Fax

Practice location:
  • Phone: 877-714-1149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP.AP.70185479-CNM
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN70001965
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: