Organization
CHANNA PITTMAN
Active
Other names
Channa Pittman
Organization subpart
No
Provider details
NPI number
Authorized official
CHANNA ROXANNE PITTMAN RN (OWNER)
(651) 354-4228
Entity
Organization
Contact information
Practice address
1115 GREENBRIER ST, SAINT PAUL, MN 55106-2540
(651) 354-4228
(651) 797-4413
Mailing address
817 MARSHALL AVE, SAINT PAUL, MN 55104-6651
(651) 354-4228
(651) 797-4413
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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