Ethel Lee Pittman in Dublin - Licensed Practical Nurse
Ethel Lee Pittman - NPI 1659338689
Ethel Lee Pittman is a Licensed Practical Nurse in Dublin, Georgia. Ethel Lee Pittman practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Ethel Lee Pittman is 1659338689. The last update date is 2007-07-08.
Ethel Lee Pittman's current location address is 2121a Bellevue Rd, Dublin, Georgia. You can contact this provider via phone number 4782721190 and fax number 4782756509. The mailing address for Ethel Lee Pittman is 2121a Bellevue Rd, Dublin, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethel Lee Pittman |
|---|---|
| Address | 2121a Bellevue Rd, Dublin, Georgia |
| Phone Number | 4782721190 |
| Fax Number | 4782756509 |
| Sole Proprietor | X |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1659338689 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2121a Bellevue Rd |
|---|---|
| City | Dublin |
| State | Georgia (GA) |
| Post Code | 31021 |
| Phone Number | 4782721190 |
| Fax Number | 4782756509 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | LPN060456 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the unique identification code assigned to Ethel Lee Pittman by the Centers for Medicare & Medicaid Services?
The Ethel Lee Pittman has been issued the NPI (National Provider Identifier) 1659338689. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ethel Lee Pittman's physical address?
The Ethel Lee Pittman is physically located at 2121A Bellevue Rd, in the city of Dublin, GA, with the postal code 31021.
What is Ethel Lee Pittman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ethel Lee Pittman is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
On what date did Ethel Lee Pittman receive its 1659338689 assignment from the Centers for Medicare & Medicaid Services?
The Ethel Lee Pittman was assigned its 1659338689 on 2006-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ethel Lee Pittman most recently updated or revised?
The information pertaining to Ethel Lee Pittman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.