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NPI Code Detail

MEDICARE: KATHLEEN P. PEARL APRN, BC

MEDICARE:   KATHLEEN P. PEARL  APRN, BC
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
1363LA2200XAdult Health Nurse Practitioner26NC07145400NJ

General Provider Information

NPI Number : 1851392344
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN P. PEARL APRN, BC
Provider Business Mailing Address
First Line : PO BOX 416457
Second Line :
City : BOSTON
State : MA
Zip : 02241-6457
Country : US
Telephone Number : 844-362-1735
Fax Number : 973-290-7495
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-971-7960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/24/2024

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Directions to “ KATHLEEN P. PEARL APRN, BC” Practice Location

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