Provider Demographics
NPI:1033525068
Name:CLONINGER, REBECCA (PA-C)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:CLONINGER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:205 SOUTH FRONT STREET
Mailing Address - Street 2:6TH FLOOR BMA
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-1619
Mailing Address - Country:US
Mailing Address - Phone:717-988-9370
Mailing Address - Fax:717-703-0154
Practice Address - Street 1:205 SOUTH FRONT STREET
Practice Address - Street 2:6TH FLOOR BMA
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1619
Practice Address - Country:US
Practice Address - Phone:717-988-9370
Practice Address - Fax:717-703-0154
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2024-10-15
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Provider Licenses
StateLicense IDTaxonomies
PAMA056930363AS0400X
PAOA003316363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical