Individual
ASANAOSHI I. D'ANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7399
(570) 808-5942
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 808-7399
(570) 808-5942
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPPA065951
PA
363LF0000X
Family Nurse Practitioner
SP029197
PA
Other
Enumeration date
02/09/2024
Last updated
02/25/2025
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