Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 3006499 | KY |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 3006499 | KY |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 6499P | KY |
NPI | 1497066039 |
---|---|
Provider Name | Maria Dawn Pitts |
First Address | Lexington, KY 40536-0284 |
Second Address | Lexington, KY 40536-0284 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2010 |
Last Update Date | 20/10/2020 |