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Individual

CHERYL D. PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, DALLAS, TX 75235-7708
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
607323
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145528903
TX
05
145528904
TX
01
8Y0753
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
02/27/2026
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