# HOLLY AYN CRONKRIGHT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497743264
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 5601003438 | MI | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010G27604 | BCBS OF MICHIGAN | MI |
| 01 | — | 080G310660 | BCBS MI | MI |
| 01 | — | 1010143 | MCLAREN HEALTH PLAN | — |
| 01 | — | 139500 | GREAT LAKES HEALTH PLAN | — |
| 01 | — | 253 | COMMUNITY CHOICE | MI |
| 01 | — | 3500576 | MOLINA HEALTH CARE | MI |
| 01 | — | P00214270 | RAILROAD MEDICARE | — |