Individual
CODY BRUCE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN. PMHNP-BC
Contact information
Practice address
13050 MAGISTERIAL DR STE 100, LOUISVILLE, KY 40223-5181
(502) 225-3299
(502) 600-4373
Mailing address
2901 HICKORY HILL CT, LA GRANGE, KY 40031-8666
(502) 225-3299
(502) 600-4373
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015591
KY
Other
Enumeration date
12/17/2020
Last updated
08/06/2025
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