Individual
ANGELA P URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5 HEDGEAPPLE DR, BELLEVILLE, PA 17004-8678
(833) 552-1852
(570) 214-1524
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MAO55803
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAO55803
PENNSYLVANIA PHYSICIAN ASSISTANT LICENSE
PA
Enumeration date
12/04/2007
Last updated
06/17/2022
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