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Individual

CHRISTINA IRENE PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1040232
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000519142A
GA
05
034489300
FL
05
051515688
AL
05
06271701
MS
05
1771341
LA
01
51515688
BLUE CROSS BLUE SHIELD
AL
01
P00122072
RR MEDICARE
Enumeration date
03/30/2006
Last updated
04/16/2009
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