Individual
TERESA K PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
605 W LINCOLN ST, LINDSBORG, KS 67456
(785) 227-3308
(785) 227-4130
Mailing address
605 W LINCOLN ST, LINDSBORG, KS 67456
(785) 227-3308
(785) 227-4130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-76056
KS
363L00000X
Nurse Practitioner
5376056
KS
363LP2300X
Primary Care Nurse Practitioner
53-76056
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201083930B
—
KS
Enumeration date
07/30/2013
Last updated
03/20/2020
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