Provider Demographics
NPI:1417638354
Name:PEARCE, DALE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:
Last Name:PEARCE
Suffix:
Gender:M
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 BIRDS EYE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WESTOVER
Mailing Address - State:WV
Mailing Address - Zip Code:26501-2298
Mailing Address - Country:US
Mailing Address - Phone:724-762-8100
Mailing Address - Fax:
Practice Address - Street 1:223 BIRDS EYE VIEW DR
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:WV
Practice Address - Zip Code:26501-2298
Practice Address - Country:US
Practice Address - Phone:724-762-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV117188207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty