Active NPIIndividual provider

Angelie N Tolentino, PA

Physician Assistant in Canonsburg, Pennsylvania

NPI Number1134731060
Practice location
100 Medical Blvd, Canonsburg, PA 15317-9762
Fax
412-359-3060
Last updated
June 30, 2026

Angelie Noelle Tolentino is a Physician Assistant based in Canonsburg, PA. Angelie Noelle Tolentino practices in Canonsburg, PA and has the professional credentials of PA. The NPI Number for Angelie Noelle Tolentino is 1134731060 and holds a License No. 25MP00573600 (NJ). The current practice location address for Angelie Noelle Tolentino is 100 Medical Blvd, Canonsburg, PA 15317-9762 and can be reached out via phone at 412-359-3030 and via fax at 412-359-3060.

Provider Profile Details

NPI Number
1134731060
Provider Name
Angelie Noelle Tolentino
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
100 Medical Blvd, Canonsburg, PA 15317-9762
Phone Number
412-359-3030
Fax Number
412-359-3060
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2020
Last Update Date
June 30, 2026
Certification Date
June 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Medical Blvd
Canonsburg, PA 15317-9762
Zip
15317-9762
Phone Number
412-359-3030
Fax Number
412-359-3060
Canonsburg, PA 15317Get directions →

Provider Business Mailing Address Details

Address
100 Medical Blvd
Canonsburg, PA 15317-9762
City
Canonsburg
State
PA
Zip
15317-9762
Phone Number
412-359-3030
Fax Number
412-359-3060

License Information

License Number (1)
25MP00573600
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
MA067124
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angelie N Tolentino, PA?

The NPI number of Angelie N Tolentino, PA is 1134731060. It was assigned on August 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Angelie N Tolentino, PA?

Angelie N Tolentino, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00573600.

Where does Angelie N Tolentino, PA practice?

The practice location is 100 Medical Blvd, Canonsburg, PA 15317-9762. The office can be reached at 412-359-3030 (phone) or 412-359-3060 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134731060 directly on the NPPES registry website.

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