Provider Demographics
NPI:1346241387
Name:CHRONISTER, GRETCHEN FINK (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:FINK
Last Name:CHRONISTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:GRETCHEN
Other - Middle Name:LOUISE
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-5507
Practice Address - Street 1:228 SAINT CHARLES WAY STE 200
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4661
Practice Address - Country:US
Practice Address - Phone:717-851-5503
Practice Address - Fax:717-851-5507
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA003028L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1569861OtherGATEWAY-WMG
PA50075171OtherCAPITAL BLUE CROSS-WMG
PA1910343OtherHIGHMARK BS FREEDOM BLUE
PA50075171OtherCAPITAL BLUE CROSS-WMG
PA1910343OtherHIGHMARK BS FREEDOM BLUE
PA029700FLTMedicare PIN