Provider Demographics
NPI:1336108950
Name:PIERCE, ERIKA M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:M
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:M
Other - Last Name:SNOWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:80 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UNITY
Mailing Address - State:ME
Mailing Address - Zip Code:04988-3732
Mailing Address - Country:US
Mailing Address - Phone:207-948-2100
Mailing Address - Fax:207-948-3018
Practice Address - Street 1:80 MAIN ST
Practice Address - Street 2:
Practice Address - City:UNITY
Practice Address - State:ME
Practice Address - Zip Code:04988-3732
Practice Address - Country:US
Practice Address - Phone:207-948-2100
Practice Address - Fax:207-948-3018
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA-210363A00000X
MEPA898363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432045699Medicaid
ME201836Medicare ID - Type Unspecified
MEMM9709Medicare ID - Type Unspecified