Individual
ELLEN KATHLEEN PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 E PRIMROSE ST STE 170, SPRINGFIELD, MO 65807-5192
(417) 269-9817
(417) 269-9853
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019007526
MO
Other
Enumeration date
03/06/2019
Last updated
04/01/2019
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