Individual
ELLEN PITCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(207) 735-7140
Mailing address
142 STAR SHELL DR, APOLLO BEACH, FL 33572-3514
(207) 735-7140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2085072
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2085072
FL
367500000X
Certified Registered Nurse Anesthetist
R023413
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME164203
MEDICARE NUMBER FOR MAINE COAST MEMORIAL HOSPITAL
ME
01
—
ME164204
MED B - BHMH
ME
Enumeration date
11/09/2006
Last updated
11/13/2018
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