Organization
SHELBY PITTS FNP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY A PITTS NP (OWNER)
(801) 920-6974
Entity
Organization
Contact information
Practice address
5640 WASATCH DR STE A, SOUTH OGDEN, UT 84403-4993
(801) 920-6974
Mailing address
3054 POLK AVE, OGDEN, UT 84403-0589
(801) 920-6974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
02/08/2024
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