Provider Demographics
NPI:1497268874
Name:WEST-PEARSON, BRIAN (DNP, CRNP)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:WEST-PEARSON
Suffix:
Gender:M
Credentials:DNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 DUSK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2369
Mailing Address - Country:US
Mailing Address - Phone:443-902-1364
Mailing Address - Fax:
Practice Address - Street 1:517 DUSK VIEW DR
Practice Address - Street 2:
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2369
Practice Address - Country:US
Practice Address - Phone:443-902-1364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-08
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229778363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily