Individual
DIANNE DENISE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP, RN
Contact information
Practice address
506 W WINDCREST ST STE 300, FREDERICKSBURG, TX 78624-4639
(830) 990-0255
(830) 997-7569
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
541246
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335303902
—
TX
01
—
8Y0398
BCBS
TX
Enumeration date
07/03/2006
Last updated
02/08/2021
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