Provider Demographics
NPI:1386633873
Name:PEARCE, TORI ELIZABETH (CRNA)
Entity Type:Individual
Prefix:MS
First Name:TORI
Middle Name:ELIZABETH
Last Name:PEARCE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 76 BOX 7924
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96319
Mailing Address - Country:JP
Mailing Address - Phone:011-813-1176
Mailing Address - Fax:
Practice Address - Street 1:35 MDOS/SGOSA
Practice Address - Street 2:MISAWA AB
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96319
Practice Address - Country:JP
Practice Address - Phone:011-813-1176
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD-073216367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered