Individual provider · Type 1 NPI

Nicole Grimm

Medical Physician Assistant · Erie, PA

NPI number 1760147904 Active

Practice location

232 W 25th St
Erie, PA 16544-0002

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1760147904

Nicole Grimm's National Provider Identifier is 1760147904, issued on Nov 2, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Erie, PA. The record was last updated on Jul 30, 2026.