Individual
MRS. PAULA S PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
6569 N CHARLES ST, STE 205, BALTIMORE, MD 21204-6831
(443) 849-3051
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R055125
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621061900
—
MD
01
—
KJ31GB/708021-01
CAREFIRST MARYLAND
MD
01
—
KJ44GB/708021-02
CAREFIRST OF MARYLAND
MD
01
—
S124/0005
CAREFIRST REGIONAL
MD
01
—
S131/0002
CAREFIRST REGIONAL
MD
Enumeration date
09/28/2006
Last updated
04/21/2008
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