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Individual

MRS. TANJA ANNETTE PITTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
2501 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73106-1402
(501) 269-0041
Mailing address
2501 N BLACKWELDER AVE, OKLAHOMA CITY, OK 73106-1402
(501) 269-0041

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A03660
AR
363LF0000X
Family Nurse Practitioner
Primary
R102354
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477828853
NPI
OK
Enumeration date
03/18/2012
Last updated
02/01/2016
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