Provider Demographics
NPI:1376324392
Name:PITTS, WEDONUIA DARLENE
Entity Type:Individual
Prefix:
First Name:WEDONUIA
Middle Name:DARLENE
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 1:5927 CASTLEWOOD XING
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2694
Mailing Address - Country:US
Mailing Address - Phone:513-484-1589
Mailing Address - Fax:
Practice Address - Street 1:5927 CASTLEWOOD XING
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2694
Practice Address - Country:US
Practice Address - Phone:513-484-1589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty