| Deborah Pitts Nutrition Consulting Llc | |
|
65 E Sunbridge Dr Fayetteville AR 72703-2894 | |
| (479) 841-8881 | |
| Not Available |
| Full Name | Deborah Pitts Nutrition Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 E Sunbridge Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Deborah Pitts (REGISTERED DIETITIAN/OWNER) |
| Authorized Official Contact | 4798418881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Pitts Nutrition Consulting Llc 65 E Sunbridge Dr Fayetteville AR 72703-2894 Ph: (479) 841-8881 | Deborah Pitts Nutrition Consulting Llc 65 E Sunbridge Dr Fayetteville AR 72703-2894 Ph: (479) 841-8881 |
| NPI Number | 1841677648 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Medicare PECOS PAC ID | 3870814924 |
|---|---|
| Medicare Enrollment ID | O20150602001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841677648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 722 (Arkansas) | Primary |
| Provider Name | Deborah L Pitts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649419003 PECOS PAC ID: 7113248261 Enrollment ID: I20150602001354 |
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