Individual provider · Type 1 NPI
Edward Lee Pearson, NURSE PRACTITIONER
Adult Medicine Physician · St. Louis, MI
NPI number
1922597038
Active
Practice location
320 Hubbard St
St. Louis, MI 48880-1926
Mailing address
363 Eden St
Kingsley, MI 49649-9289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 4704206310 (MI) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
About NPI 1922597038
Edward Lee Pearson, NURSE PRACTITIONER's National Provider Identifier is 1922597038, issued on May 3, 2018. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in St. Louis, MI. The record was last updated on Jun 16, 2018.