Provider Demographics
NPI:1598520058
Name:PITTS, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10491 WILDFLOWER GULLY ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-8040
Mailing Address - Country:US
Mailing Address - Phone:702-767-7229
Mailing Address - Fax:
Practice Address - Street 1:10491 WILDFLOWER GULLY ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-8040
Practice Address - Country:US
Practice Address - Phone:702-767-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist