Individual
SHELENA NICOLE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-8676
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704229540
MI
363LF0000X
Family Nurse Practitioner
4704229540
MI
Other
Enumeration date
11/23/2012
Last updated
10/27/2016
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