Individual
ARIEL NICHOLE SANTORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6850 LOWS RD, STE 325, BLOOMSBURG, PA 17815-8708
(570) 784-5545
(570) 245-0240
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003771
PA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032160620001
—
PA
01
—
2E4494
MEDICARE
PA
Enumeration date
06/03/2015
Last updated
11/02/2022
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