Provider Demographics
NPI:1689812638
Name:MCDONALD, PEARLA P (NP)
Entity Type:Individual
Prefix:
First Name:PEARLA
Middle Name:P
Last Name:MCDONALD
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Gender:F
Credentials:NP
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Mailing Address - Street 1:6548 S MCCARRAN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6150
Mailing Address - Country:US
Mailing Address - Phone:775-336-1256
Mailing Address - Fax:775-336-6410
Practice Address - Street 1:6548 S MCCARRAN BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6164
Practice Address - Country:US
Practice Address - Phone:775-336-1256
Practice Address - Fax:775-336-6410
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2019-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704231513363LF0000X
NVAPRN002410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily