Individual
MRS. CHANNA ROXANNE PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1115 GREENBRIER ST, SAINT PAUL, MN 55106-2540
(651) 354-4228
(651) 797-4413
Mailing address
1115 GREENBRIER ST, SAINT PAUL, MN 55106-2540
(651) 354-4228
(651) 797-4413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R171403-6
MN
Other
Enumeration date
03/12/2009
Last updated
05/09/2024
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