MEDICARE: MRS. DEBRA ANNE PEARSON WHNP, FNP - C

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
1	363LW0102X	Women's Health Nurse Practitioner	AP 106995	TX
2	363LF0000X	Family Nurse Practitioner	AP106995	TX

General Provider Information

NPI Number	:	1891840831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA ANNE PEARSON WHNP, FNP - C

Provider Business Mailing Address
First Line	:	1606 GRAND RIVER DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1856
Country	:	US
Telephone Number	:	281-633-0084
Fax Number	:

Provider Business Practice Location Address
First Line	:	19875 SOUTHWEST FWY STE 100
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3502
Country	:	US
Telephone Number	:	281-545-2323
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/30/2014

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