Healthcare Provider Details

I. General information

NPI: 1780059881
Provider Name (Legal Business Name): DANIELLE CATUDIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE ANDERSON DNP, ARNP

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 NW GILMAN BLVD STE 105
ISSAQUAH WA
98027-2483
US

IV. Provider business mailing address

450 NW GILMAN BLVD STE 105
ISSAQUAH WA
98027-2483
US

V. Phone/Fax

Practice location:
  • Phone: 425-651-4242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60868265
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN60240860
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: