Healthcare Provider Details

I. General information

NPI: 1962334425
Provider Name (Legal Business Name): CLARE ELIZABETH PEARSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLARE ELIZABETH HANSEN RN

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3076 SOSCOL AVE
NAPA CA
94558-3054
US

IV. Provider business mailing address

3076 SOSCOL AVE
NAPA CA
94558-3054
US

V. Phone/Fax

Practice location:
  • Phone: 510-205-1990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number533793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: