Individual
LAUREL ANN PITTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 747-2225
Mailing address
34 BUICK ST, SAN ANGELO, TX 76901-4730
(325) 658-5339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1153993
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1153993
TX
Other
Enumeration date
02/27/2024
Last updated
05/13/2025
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