Individual
REBECCA LYNN-PITTMAN POMAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
43361 COMMONS DR, CLINTON TWP, MI 48038-1109
(586) 745-3006
Mailing address
38635 WARWICKSHIRE DR, STERLING HEIGHTS, MI 48312-1164
(586) 718-3997
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
363LF0000X
Family Nurse Practitioner
Primary
4704329507
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2016
Last updated
09/25/2023
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