Provider Demographics
NPI:1245757103
Name:GRASING, THERESA J (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:J
Last Name:GRASING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:THERESA
Other - Middle Name:J
Other - Last Name:BERING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA - C
Mailing Address - Street 1:108 FORBES ST FL 2
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1502
Mailing Address - Country:US
Mailing Address - Phone:410-940-6645
Mailing Address - Fax:410-571-7880
Practice Address - Street 1:108 FORBES ST FL 2
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1502
Practice Address - Country:US
Practice Address - Phone:410-940-6645
Practice Address - Fax:410-571-7880
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
MDC0006562363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant