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Provider Information for 1407256217



PINKIE M FITTS CRNP

Gender: FEMALE

Individual NPI: 1407256217

Calendar Last Updated: 2016-03-28

Details

Name Value
NPI 1407256217
Enumeration Date 2014-08-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
United States

Phone: 334-288-9009 | Fax: 334-288-9497
View Map External Link
Primary Practice Address 1040 LONGFIELD CT
MONTGOMERY, AL 36117-8055
United States

Phone: 334-288-9009 | Fax: 334-288-9497
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other AL BOARD OF NURSING LICENSE AL 1-092041
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 163W00000X - Registered Nurse AL 1-092041