IndividualActive
Alicia Mancini, PA-C
NPI 1356650006 · Surgical Physician Assistant · Grand Rapids, MI
Provider details
- NPI number
- 1356650006
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 002477 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4100 Lake Dr Se
Suite 205
Grand Rapids, MI 49546-8292
Phone: (616) 267-7100
Fax: (616) 267-7102
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2016-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.