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NPI Code Detail

MEDICARE: SHEILA D PEARSON

MEDICARE: SHEILA D PEARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator090427300002420MO

General Provider Information

NPI Number : 1053659037
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA D PEARSON
Provider Business Mailing Address
First Line : 6121 N HANLEY RD
Second Line :
City : BERKELEY
State : MO
Zip : 63134-2003
Country : US
Telephone Number : 314-615-6871
Fax Number :
Provider Business Practice Location Address
First Line : 6121 N HANLEY RD
Second Line :
City : BERKELEY
State : MO
Zip : 63134-2003
Country : US
Telephone Number : 314-615-6871
Fax Number : 314-615-6832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2013
Last Update Date : 01/25/2013

Similar Medicare Providers

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1679910194 — MS. DANIELLE THERESA CHAVEZ MS, RD, LD
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Directions to “ SHEILA D PEARSON ” Practice Location

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