Individual
IVY PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
779 NW FIRGLADE DR, BREMERTON, WA 98311-8919
(360) 440-3641
Mailing address
6681 OLD MILITARY RD NE, BREMERTON, WA 98311-3217
(360) 440-3641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60310547
WA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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