Provider Demographics
NPI:1891106308
Name:PEARLSTEIN, MICHELLE
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:PEARLSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:VERNALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6320 QUADRANGLE DR STE 180
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7815
Mailing Address - Country:US
Mailing Address - Phone:919-228-8238
Mailing Address - Fax:
Practice Address - Street 1:6320 QUADRANGLE DR STE 180
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7815
Practice Address - Country:US
Practice Address - Phone:919-228-8238
Practice Address - Fax:336-348-0816
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201382390200000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program