Provider Demographics
NPI:1083312185
Name:PITTS, DEON DELOR
Entity Type:Individual
Prefix:
First Name:DEON
Middle Name:DELOR
Last Name:PITTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8917 DEEP RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-7226
Mailing Address - Country:US
Mailing Address - Phone:310-283-2286
Mailing Address - Fax:
Practice Address - Street 1:1380 E SILVERADO RANCH BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-5924
Practice Address - Country:US
Practice Address - Phone:702-453-8878
Practice Address - Fax:702-453-8874
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant