Pitts, Larissa Michele
Pitts, Larissa Michele is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pitts, Larissa Michele can be contacted via phone (606) 408-4000.Contact Information
Primary practice address
2201 Lexington Ave
Ashland KY 41101-2843
Phone: (606) 408-4000
Fax: (606) 408-6061
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 54195 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3003817 | Kentucky |
Profile Details
| NPI number | 1578508180 |
|---|---|
| LBN Legal business name | Pitts, Larissa Michele |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Oct 30th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578508180 | NPPES |
| Kentucky | MEDICAID | 7100079740 | |
| Kentucky | MEDICAID | 3810001264 |
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