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Individual

MRS. ASHLEY M. DEANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-4830
(570) 703-4835
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN598066
PA
363L00000X
Nurse Practitioner
SP013120
PA
363L00000X
Nurse Practitioner
Primary
SP014049
PA
363LF0000X
Family Nurse Practitioner
SP014049
PA

Other

Enumeration date
10/02/2013
Last updated
08/20/2020
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