Individual
TRACIE M. CRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34435 KING STREET ROW, SUITE 1, LEWES, DE 19958-4787
(302) 644-1300
(302) 644-1086
Mailing address
34844 PICNIC BASKET CT, REHOBOTH BEACH, DE 19971-4424
(302) 644-1300
(302) 644-1086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001041
DE
363AM0700X
Medical Physician Assistant
MA056271
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0001041
MEDICAL LICENSE
DE
Enumeration date
07/30/2013
Last updated
09/22/2020
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