Individual provider · Type 1 NPI

Danielle Marie Prudente, PA-C

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1801750757 Active

Practice location

1155 E Mountain Blvd
Wilkes Barre, PA 18702-7906

Call (570) 808-7300 Map

Fax (570) 808-6006

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XOA007546 (PA)
Medical Physician Assistant Primary 363AM0700XMA067375 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1801750757

Danielle Marie Prudente, PA-C's National Provider Identifier is 1801750757, issued on Dec 15, 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 Mar 13, 2026.