Individual
MRS. TRICIA D PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
804 N 18TH ST, PHOENIX, AZ 85006-3603
(602) 257-3850
Mailing address
4331 W CREEDANCE BLVD, GLENDALE, AZ 85310-3920
(623) 252-7643
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN151613
AZ
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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