Individual
DREW W PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1340 CHARLES ST, ROCKFORD, IL 61104-2200
(779) 696-8700
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-390506
IL
363L00000X
Nurse Practitioner
Primary
209-017304
IL
Other
Enumeration date
01/30/2018
Last updated
03/08/2021
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