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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578508180 NPPES
Kentucky MEDICAID 7100079740
Kentucky MEDICAID 3810001264

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