Individual
CERA NICOLE RENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822, DANVILLE, PA 17822-9800
(570) 271-6429
(570) 271-6854
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-1900
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062121
PA
363A00000X
Physician Assistant
OA005524
PA
Other
Enumeration date
08/12/2019
Last updated
02/27/2024
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