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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DANIELLE MARIE PRUDENTE, PA-C

Active

DANIELLE MARIE PRUDENTE, PA-C is a Medical Physician Assistant healthcare provider located in WILKES BARRE, Pennsylvania. NPI 1801750757 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WILKES BARRE, PA

Registration Details

NPI Number
1801750757
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2025 (0.68400117541388 yrs)
Last Updated
Dec 19, 2025
Licenses
OA007546 (PA)
MA067375 (PA)

Practice Information

Address
1155 E MOUNTAIN BLVD
WILKES BARRE, PA, 18702
Browse PA providers · Browse ZIP 18702
Phone
5708087300
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in WILKES BARRE, PA

Name Credential NPI
BONITA MRAS PA-C 1538154521
MR. JOSEPH JOHN BOLINSKY III PA-C 1154399731
MR. STEPHEN SCHARDING PA-C 1154389021
MRS. LORA DENISE PAULUKONIS PA-C 1710939178
KAREN ANNE TILLOTSON PA 1609802099
MRS. IVONA AGATA KOCON PA-C 1750393765
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.