Healthcare Provider Details

I. General information

NPI: 1083414536
Provider Name (Legal Business Name): ANGELA MARIE ATEN FNP-C, ENP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 PARK ST
HONESDALE PA
18431-1498
US

IV. Provider business mailing address

2109 PRATT RD
HOP BOTTOM PA
18824-7943
US

V. Phone/Fax

Practice location:
  • Phone: 570-253-8100
  • Fax:
Mailing address:
  • Phone: 570-690-8850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberSP032199
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSP032146
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: