Provider Demographics
NPI:1679957898
Name:PEARLSON, AMY CHAMBERLIN (RN)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:CHAMBERLIN
Last Name:PEARLSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:DEUCHARS
Other - Last Name:CHAMBERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:901 MYRTLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-1219
Mailing Address - Country:US
Mailing Address - Phone:707-445-7000
Mailing Address - Fax:707-445-7143
Practice Address - Street 1:901 MYRTLE AVENUE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-1219
Practice Address - Country:US
Practice Address - Phone:707-445-7000
Practice Address - Fax:707-445-7143
Is Sole Proprietor?:No
Enumeration Date:2015-07-17
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA743039163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health