Provider Demographics
NPI:1265228423
Name:PEARSON, ANNA MICHELLE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MICHELLE
Last Name:PEARSON
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1391 JAMES CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-1130
Mailing Address - Country:US
Mailing Address - Phone:262-573-9366
Mailing Address - Fax:
Practice Address - Street 1:1391 JAMES CIR
Practice Address - Street 2:
Practice Address - City:SOUTH MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53172-1130
Practice Address - Country:US
Practice Address - Phone:262-573-9366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program