Provider Demographics
NPI:1730532466
Name:CRAW, ERICA ANNE (PA-C)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ANNE
Last Name:CRAW
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 S BLAIRSFERRY XING
Mailing Address - Street 2:SUITE A
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-7988
Mailing Address - Country:US
Mailing Address - Phone:319-393-0783
Mailing Address - Fax:319-393-0427
Practice Address - Street 1:400 S BLAIRSFERRY XING
Practice Address - Street 2:SUITE A
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-7988
Practice Address - Country:US
Practice Address - Phone:319-393-0783
Practice Address - Fax:319-393-0427
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA083361363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant