Individual
NICOLE PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 STULTS RD STE 105, HUNTINGTON, IN 46750-1291
(260) 355-3250
(260) 355-3259
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002600A
IN
Other
Enumeration date
06/18/2018
Last updated
11/15/2022
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