Pearson, Twila M
Pearson, Twila M is an individual health care provider with primary practice located at 5000 W Chambers St Pob - Room 210, Milwaukee WI 53210-1650. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Pearson, Twila M can be contacted via phone (414) 874-1171.Contact Information
Primary practice address
5000 W Chambers St Pob - Room 210
Milwaukee WI 53210-1650
Phone: (414) 874-1171
Fax: (414) 874-1177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1687 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent | 364SP0807X | 1687-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 1687-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1687033 | Wisconsin |
Profile Details
| NPI number | 1275570905 |
|---|---|
| LBN Legal business name | Pearson, Twila M |
| Credentials | APNP, PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Dec 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275570905 | NPPES |
| Wisconsin | MEDICAID | 39127500 | |
| Wisconsin | MEDICAID | 43600100 |
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