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NPI Code Detail

MEDICARE: REBECCA ANN GROSE PA-C

MEDICARE:   REBECCA ANN GROSE  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA053522PA

General Provider Information

NPI Number : 1952559072
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANN GROSE PA-C
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number :
Provider Business Practice Location Address
First Line : 7095 WESTBRANCH HWY STE 1000
Second Line :
City : LEWISBURG
State : PA
Zip : 17837-6864
Country : US
Telephone Number : 570-523-3006
Fax Number : 570-523-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 01/20/2026

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Directions to “ REBECCA ANN GROSE PA-C” Practice Location

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