Doctor Name: | GRETCHEN L KRONENTHAL |
NPI Number: | 1144299579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 055-0030753 |
Business Practice Address: | 1903 Highway 44 W Inverness, FL - 344533801 |
Business Phone Number: | 3523445500 |
Business Fax Number: | 3523448900 |
Mailing Address: | 14690 Spring Hill Dr, #101 SPRING HILL |
State: | FL |
Postal Code: | 346098102 |
Phone Number: | 3527990046 |
Fax Number: | 3527990115 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 055-0030753 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |