Provider Demographics
NPI:1275001760
Name:PITTS, HUON VANESSA (LVN)
Entity Type:Individual
Prefix:MRS
First Name:HUON
Middle Name:VANESSA
Last Name:PITTS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21142 STEWARD RD
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93638-7101
Mailing Address - Country:US
Mailing Address - Phone:559-349-4432
Mailing Address - Fax:
Practice Address - Street 1:6481 W MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93723-9265
Practice Address - Country:US
Practice Address - Phone:559-312-5894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA254801164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse