Provider Demographics
NPI:1477160422
Name:PEARCE, CHRISTINE ANN TERESE (WIFE/CAREGIVER)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN TERESE
Last Name:PEARCE
Suffix:
Gender:F
Credentials:WIFE/CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 COBBLESTONE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19525-8843
Mailing Address - Country:US
Mailing Address - Phone:484-357-2785
Mailing Address - Fax:
Practice Address - Street 1:122 COBBLESTONE DR
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19525-8843
Practice Address - Country:US
Practice Address - Phone:484-357-2785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider