Provider Demographics
NPI:1497399315
Name:PEARSON, ALEXANDRA QUINN MARIN (MSN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:QUINN MARIN
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:QUINN MARIN
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:414 E COTA ST FL 1
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-1624
Mailing Address - Country:US
Mailing Address - Phone:805-617-7850
Mailing Address - Fax:805-963-8880
Practice Address - Street 1:2320 BATH ST STE 302
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4383
Practice Address - Country:US
Practice Address - Phone:805-324-8336
Practice Address - Fax:805-770-8413
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95207909363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health