Healthcare Provider Details

I. General information

NPI: 1053114041
Provider Name (Legal Business Name): PRINCESS DANA CATACUTAN RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4211 S CLOVERDALE ST
SEATTLE WA
98118-4628
US

IV. Provider business mailing address

4211 S CLOVERDALE ST
SEATTLE WA
98118-4628
US

V. Phone/Fax

Practice location:
  • Phone: 206-351-4708
  • Fax: 206-760-7795
Mailing address:
  • Phone: 206-351-4708
  • Fax: 206-760-7795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60458826
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: