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Individual

SHANNON E PEARCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP,GNP,C

Contact information

Practice address
711 W BAY AREA BLVD, #500, WEBSTER, TX 77598-4043
(281) 554-2200
(281) 554-4340
Mailing address
1504 BEN TAUB LOOP, HOUSTON, TX 77030
(713) 816-4019

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
669883
TX
363LG0600X
Gerontology Nurse Practitioner
669883
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160230201
TX
05
160230202
TX
Enumeration date
05/16/2006
Last updated
01/12/2011
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