MRS. ERICA GRACE PA-C NPI 1740799329

NPI Information

NPI: 1740799329
Provider Name: MRS. ERICA GRACE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8391 COMMERCE RD STE 107
COMMERCE TOWNSHIP, MI
ZIP 48382
Phone: (248) 360-8660
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MRS. Erica Grace, PA-C is a medical physician assistant in Commerce Township, MI with 7 years of experience. MRS. Erica Grace, PA-C NPI is 1740799329. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2017

The provider's business location address is:

8391 COMMERCE RD STE 107
COMMERCE TOWNSHIP, MI
ZIP 48382-489
Phone: (248) 360-8660

The NPI 1740799329 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2017 and was last updated on 9/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601008424	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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