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Individual
MS. AMY Y PEARSON
Active
Individual
MS. AMY Y PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19175
CA
363LA2100X
Acute Care Nurse Practitioner
19175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821322124
—
CA
01
—
NP0191750
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
09/21/2009
Last updated
11/27/2023
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