Most Relevant Information
Provider Data
| NPI Number: | 1003433723 |
| Provider Name: | DALE D PEARCE APRN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209020476 |
Most Important Dates
| Enumeration Date: | 06/29/2020 |
| Last Updated: | 07/13/2020 |
Provider Practice Location
1535 W MCCORD ST
CENTRALIA
IL
628015805
Practice Location Phone/Fax
| Phone: | 6185331811 |
| Fax: |
Provider Mailing Location
415 E 200 AVE
PATOKA
IL
628750045
Provider Mailing Phone/Fax
| Phone: | 6183228391 |
| Fax: |