Individual
ERIN PEARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
203 HOSPITAL DR, RATON, NM 87740-2012
(575) 445-3661
Mailing address
2977 NICKEL ST, LOS ALAMOS, NM 87544-2198
(505) 999-0819
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2015-0040
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2015-0040
NM MEDICAL LICENSE
NM
Enumeration date
06/30/2015
Last updated
06/30/2015
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