Basic Information
| Provider Information | |||||||||
| NPI: | 1851024533 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PEARSON | ||||||||
| FirstName: | ALEXANDRA | ||||||||
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| Credential: | MS, RN, CCRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8522 GARDENIA DR | ||||||||
| Address2: | |||||||||
| City: | PLAIN CITY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430643535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6306186305 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6001 E BROAD ST | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432131502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142346000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2022 | ||||||||
| LastUpdateDate: | 07/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN.412688 | OH | Y | Nursing Service Providers | Registered Nurse |
No ID Information.