Individual provider · Type 1 NPI
Erica Grace Anderson, PA-C
Medical Physician Assistant · Philadelphia, PA
NPI number
1053208090
Active
Practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Mailing address
6600 Merrick Landing Blvd
Windermere, FL 34786-7381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1053208090
Erica Grace Anderson, PA-C's National Provider Identifier is 1053208090, issued on Jun 23, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 1, 2025.