Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Alicia May Mancini, PA-C

Individual provider Surgical Physician Assistant · NPI 1356650006

Mrs. Alicia May Mancini, PA-C is a Surgical Physician Assistant in Grand Rapids, Michigan. Licensed in Connecticut and Michigan. Registered with an NPI since 2010.

Licensed in
CT, MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4100 Lake Dr SE Ste 205
Grand Rapids, MI 49546-8292
Phone: (616) 267-7100
Fax: (616) 267-7102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601007930 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 002477 (CT)

Record details

NPI number1356650006
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2010
Last updated in NPPESDecember 19, 2016

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