Provider Demographics
NPI:1831540384
Name:FITTING, JOE-RYAN (FNP-C)
Entity type:Individual
Prefix:MR
First Name:JOE-RYAN
Middle Name:
Last Name:FITTING
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 E LITTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8056
Mailing Address - Country:US
Mailing Address - Phone:956-792-3384
Mailing Address - Fax:
Practice Address - Street 1:1710 E LITTLE CREEK DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8056
Practice Address - Country:US
Practice Address - Phone:956-792-3384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131256363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily