NPI Profile for ETHAN PEARSON in FORT SMITH, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1184211187 |
|
| Status | Active | |
| Credentials | MSN, APRN, FNP-C | |
| Entity | Individual | |
| Enumeration date | 12/23/2020 | |
| Last updated | 09/02/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ETHAN PEARSON
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