Individual
SHANNON C PITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12052 MAIN ST., NORTHOME, MN 56661
(218) 897-5222
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6664
MN
Other
Enumeration date
07/03/2019
Last updated
03/10/2023
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