Healthcare Provider Details

I. General information

NPI: 1205267697
Provider Name (Legal Business Name): AMBER SHOLTES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER KLEIN PA-C

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 OAK ST
SCRANTON PA
18508-1260
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-703-0539
  • Fax: 570-800-7883
Mailing address:
  • Phone: 570-703-0539
  • Fax: 570-800-7883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA056578
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA003170
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: