| NPI | 1033744065 |
|---|---|
| Former Name | TAWANA C PITTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 903892) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004562-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 903892) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1058787) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1058787) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0004562-C-NP) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-04-20 |