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Individual

MRS. PAULA S PEARL

Active
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Individual

MRS. PAULA S PEARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

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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