Mrs Latasha Pittman, NP | |
2072b E Commercial Ave, Lowell, IN 46356-2116 | |
(219) 696-6880 | |
Not Available |
Full Name | Mrs Latasha Pittman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 2072b E Commercial Ave, Lowell, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1578062535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 71007749A (Indiana) | Primary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20040513000199 |
Mailing Address | Practice Location Address |
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Mrs Latasha Pittman, NP 211 Serena Dr, Chicago Heights, IL 60411-1039 Ph: () - | Mrs Latasha Pittman, NP 2072b E Commercial Ave, Lowell, IN 46356-2116 Ph: (219) 696-6880 |
Alejandra Garcia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18627 White Oak Ave, Lowell, IN 46356 Phone: 219-671-7443 | |
Mrs. Angela Jean Gard, RN, BSN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17648 Morse St, Lowell, IN 46356 Phone: 219-696-6258 | |
Jessica Goodman, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2068 Lucas Pkwy, Lowell, IN 46356 Phone: 219-690-7025 | |
Jill Irene Maddack, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 W 181st Ave, Lowell, IN 46356 Phone: 219-690-2016 Fax: 219-690-1862 | |
Katheryn Dee White, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 W 181st Ave, Lowell, IN 46356 Phone: 219-690-2016 Fax: 219-690-1862 | |
Mr. Michael Alan Polich, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 792 Carriage Dr, Lowell, IN 46356 Phone: 219-696-4101 |