Provider Demographics
NPI:1932183837
Name:PEARSON, KAREN ANN (MSN, NURSE PRACTITIO)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MSN, NURSE PRACTITIO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA
Mailing Address - State:CA
Mailing Address - Zip Code:93428-0487
Mailing Address - Country:US
Mailing Address - Phone:805-305-5176
Mailing Address - Fax:805-927-4910
Practice Address - Street 1:1405 TERESA DR
Practice Address - Street 2:
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-2458
Practice Address - Country:US
Practice Address - Phone:805-772-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN225919163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse