Mary Amanda Amanda Pittman
NPI #1609238518 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1609238518
- Entity Type
- Individual
- Name
- Mary Amanda Amanda Pittman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 22, 2016
- Last Updated
- Oct 23, 2023
Practice Location
- Address
- STUDENT SUCCESS CENTER ROOM 0222
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62026-1166
- Phone
- (618) 650-2842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Family — Family |
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