Provider Demographics
NPI:1174284376
Name:GERRIT, ALAINA MICHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:MICHELLE
Last Name:GERRIT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 GOODRICH AVE
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904
Mailing Address - Country:US
Mailing Address - Phone:207-438-1781
Mailing Address - Fax:401-841-2118
Practice Address - Street 1:402 GOODRICH AVE
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904
Practice Address - Country:US
Practice Address - Phone:207-438-1781
Practice Address - Fax:401-841-2118
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
1183454363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical