Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Rose Grant

Individual provider Physician Assistant · NPI 1568951606

Andrea Rose Grant is a Physician Assistant in Fredericksburg, Virginia. Qualified in 2018, 8 years ago. Practices with Dermatology Center PC, a 6-clinician group and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
8
Licensed in
CA, VA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3501 Lafayette Blvd
Fredericksburg, VA 22408-4130
Phone: (540) 371-7118
Fax: (540) 371-3248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008473 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 55869 (CA)

Record details

NPI number1568951606
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2018
Last updated in NPPESMarch 7, 2023
Certification dateJune 20, 2022
Mailing address3501 Lafayette Blvd, Fredericksburg, VA 22408-4130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Dermatology Center Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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