Individual
NATALIE H PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2510 18TH AVE, CENTRAL CITY, NE 68826-2123
(308) 946-3845
Mailing address
2510 18TH AVE, CENTRAL CITY, NE 68826-2123
(308) 946-3845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1900
NE
363A00000X
Physician Assistant
Primary
1900
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900
LICENCE NUMBER
NE
Enumeration date
03/13/2015
Last updated
08/14/2019
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