Provider Demographics
NPI:1508469990
Name:PEARSON, TRINA MARIE
Entity Type:Individual
Prefix:MS
First Name:TRINA
Middle Name:MARIE
Last Name:PEARSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 SAINT MICHAELS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2545
Mailing Address - Country:US
Mailing Address - Phone:330-256-0025
Mailing Address - Fax:
Practice Address - Street 1:1120 SAINT MICHAELS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2545
Practice Address - Country:US
Practice Address - Phone:330-256-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker