Individual
BRENDA J PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3300 TATES CREEK RD, LEXINGTON, KY 40502-3408
(859) 266-2126
(859) 266-5353
Mailing address
12201 BLUEGRASS PKWY, LOUISVILLE, KY 40299-2361
(502) 568-7364
(502) 568-7136
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4221P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012085
—
KY
Enumeration date
08/03/2006
Last updated
10/11/2017
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