Individual
AMANDA REAMES PITTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
1047310
DC
363LW0102X
Women's Health Nurse Practitioner
231893
MD
363LW0102X
Women's Health Nurse Practitioner
9373450
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
RN1047310
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012194700
—
FL
01
—
9373450
FL BOARD OF NURSING
FL
01
—
Y0KY2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/19/2013
Last updated
05/07/2025
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