Provider Demographics
NPI:1013516194
Name:CRONIN, REBECCA MARY (PA-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARY
Last Name:CRONIN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3901 STONEGATE PARK STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-9136
Mailing Address - Country:US
Mailing Address - Phone:269-556-6000
Mailing Address - Fax:269-556-6020
Practice Address - Street 1:3901 STONEGATE PARK STE 300
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-9136
Practice Address - Country:US
Practice Address - Phone:269-556-6000
Practice Address - Fax:269-556-6020
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2022-05-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant