Provider Demographics
NPI:1548763709
Name:PITTS, DISHA (RN)
Entity Type:Individual
Prefix:MS
First Name:DISHA
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 PRESERVE LN APT 1A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6927
Mailing Address - Country:US
Mailing Address - Phone:513-620-3712
Mailing Address - Fax:
Practice Address - Street 1:3151 PRESERVE LN APT 1A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6927
Practice Address - Country:US
Practice Address - Phone:513-620-3712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.413222163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse