Provider Demographics
NPI:1730181272
Name:PEARSON, LINDA (DNSC MSN APRN,BC RXN)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:DNSC MSN APRN,BC RXN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 E ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80121-8000
Mailing Address - Country:US
Mailing Address - Phone:303-618-6606
Mailing Address - Fax:303-969-9517
Practice Address - Street 1:191 E ORCHARD RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80121-8000
Practice Address - Country:US
Practice Address - Phone:303-618-6606
Practice Address - Fax:303-969-9517
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO54475363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health