Healthcare Provider Details
I. General information
NPI: 1346241387
Provider Name (Legal Business Name): GRETCHEN FINK CHRONISTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/01/2005
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
228 SAINT CHARLES WAY STE 200
YORK PA
17402-4661
US
IV. Provider business mailing address
601 MEMORY LN
YORK PA
17402-2231
US
V. Phone/Fax
- Phone: 717-851-5503
- Fax: 717-851-5507
- Phone: 717-851-1405
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | MC1121754 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | MA003028L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: