Individual
JUDY ANN PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4566
(614) 722-4755
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
NP02067
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
RN118996
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058106
—
OH
Enumeration date
09/27/2005
Last updated
07/10/2012
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