Provider Demographics
NPI:1689761215
Name:PEARCE, DARLA (NP)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:PEARCE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9998 DRANSFELDT RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4013
Mailing Address - Country:US
Mailing Address - Phone:303-214-0333
Mailing Address - Fax:303-214-0332
Practice Address - Street 1:9998 DRANSFELDT RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4013
Practice Address - Country:US
Practice Address - Phone:303-214-0333
Practice Address - Fax:303-214-0332
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN28042363L00000X
CONP-10191363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT4300478Medicaid
ID806819000Medicaid
MT000083622Medicare PIN
MTP84147Medicare UPIN
MT4300478Medicaid
ID806819000Medicaid