Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 95000416 | CA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2018019669 | CA |
NPI | 1033277033 |
---|---|
Provider Name | Mrs. Beata Alina Pearce |
First Address | Huntington Beach, CA 92605-3957 |
Second Address | Commerce, CA 90022-5111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 08/08/2019 |