Provider Demographics
NPI:1316071301
Name:NYMAN, ERICA J (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:J
Last Name:NYMAN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5005 CASCADE RD SE STE B
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8411
Mailing Address - Country:US
Mailing Address - Phone:616-319-4288
Mailing Address - Fax:616-426-6991
Practice Address - Street 1:5005 CASCADE RD SE STE B
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8411
Practice Address - Country:US
Practice Address - Phone:616-319-4288
Practice Address - Fax:616-426-6991
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5601004259363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant