Provider Demographics
NPI:1386892487
Name:PITT, TAMBRA MICHELLE (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TAMBRA
Middle Name:MICHELLE
Last Name:PITT
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 457
Mailing Address - Street 2:
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:WV
Mailing Address - Zip Code:24986-0457
Mailing Address - Country:US
Mailing Address - Phone:304-536-5030
Mailing Address - Fax:866-903-6621
Practice Address - Street 1:3738 DAVIS STUART RD.
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901-9463
Practice Address - Country:US
Practice Address - Phone:304-645-3207
Practice Address - Fax:304-645-6605
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV61246363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily