MEDICARE: CLARE ELIZABETH PEARSON RN

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	163WN0002X	Neonatal Intensive Care Registered Nurse	533793	CA

General Provider Information

NPI Number	:	1962334425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARE ELIZABETH PEARSON RN

Provider Business Mailing Address
First Line	:	3076 SOSCOL AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-3054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3076 SOSCOL AVE
Second Line	:
City	:	NAPA
State	:	CA
Zip	:	94558-3054
Country	:	US
Telephone Number	:	510-205-1990
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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