Provider Demographics
NPI:1649908666
Name:CROMER, CLAIRE ASHTON (PA)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ASHTON
Last Name:CROMER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 39TH AVENUE LOOP NE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-7683
Mailing Address - Country:US
Mailing Address - Phone:260-224-3849
Mailing Address - Fax:
Practice Address - Street 1:10 3RD AVE NE STE 500
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5055
Practice Address - Country:US
Practice Address - Phone:828-304-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001014404363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant