Provider Demographics
NPI:1720663842
Name:GRINDE, ERIKA KRISTINE (PA-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:KRISTINE
Last Name:GRINDE
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3655 PLYMOUTH BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-3665
Mailing Address - Country:US
Mailing Address - Phone:612-486-4200
Mailing Address - Fax:
Practice Address - Street 1:3655 PLYMOUTH BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3665
Practice Address - Country:US
Practice Address - Phone:612-486-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2024-09-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant