Provider Demographics
NPI:1205262250
Name:CRESS, ERICA LEE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LEE
Last Name:CRESS
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 1:321 E MERCER ST
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16038-1927
Mailing Address - Country:US
Mailing Address - Phone:724-735-4241
Mailing Address - Fax:724-735-4240
Practice Address - Street 1:321 E MERCER ST
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:16038-1927
Practice Address - Country:US
Practice Address - Phone:724-735-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057063363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical