Provider Demographics
NPI:1326443342
Name:PITT, SHARON LOUISE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LOUISE
Last Name:PITT
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 ELM ST
Mailing Address - Street 2:
Mailing Address - City:MISSOURI VALLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51555-1140
Mailing Address - Country:US
Mailing Address - Phone:712-642-2794
Mailing Address - Fax:402-642-9338
Practice Address - Street 1:809 ELM ST
Practice Address - Street 2:
Practice Address - City:MISSOURI VALLEY
Practice Address - State:IA
Practice Address - Zip Code:51555-1140
Practice Address - Country:US
Practice Address - Phone:712-642-2794
Practice Address - Fax:712-642-9338
Is Sole Proprietor?:No
Enumeration Date:2014-11-03
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111756363LF0000X
IAA123973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily