Keith Daniel Pittman, NP
Nurse Practitioner in Charlotte, NC. Individual provider (NPI-1).
NPI number1245949593
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1245949593
- Entity type
- Individual (NPI-1)
- Name
- Keith Daniel Pittman
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2022
- Certification date
- Nov 14, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5017255 | NC | Yes |
| 363L00000X | Nurse Practitioner | PITT-YU2WO | NC |
Practice location
8036 Providence Rd Ste 100Charlotte, NC 28277-0257
Phone 980-301-8711 · Fax 980-301-8712
Mailing address
Po Box 601843Charlotte, NC 28260-1843
Other practice locations
3007 Wesley Chapel Stouts Rd
Monroe, NC 28110-4007
Monroe, NC 28110-4007
Phone 704-412-3612
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