Individual provider · Type 1 NPI

Emily Hattem

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1629958574 Active

Practice location

169 N Pennsylvania Ave
Wilkes Barre, PA 18701-3603

Mailing address

15 Bayberry Dr
Mahwah, NJ 07430-1502

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA067133 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1629958574

Emily Hattem's National Provider Identifier is 1629958574, issued on Sep 3, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Dec 15, 2025.