Individual
MRS. SHELBY ABDULLA PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
852 N MAIN ST, BRIGHAM CITY, UT 84302-1452
(801) 920-6974
(877) 550-0662
Mailing address
3054 POLK AVE, OGDEN, UT 84403-0589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7977558-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679079784
—
UT
Enumeration date
04/05/2018
Last updated
04/20/2023
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