Provider Demographics
NPI:1104297654
Name:PEARCE, SABRINA J (STNA)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:J
Last Name:PEARCE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 N MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-2072
Mailing Address - Country:US
Mailing Address - Phone:740-501-1659
Mailing Address - Fax:
Practice Address - Street 1:703 N MULBERRY ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-2072
Practice Address - Country:US
Practice Address - Phone:740-501-1659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide