Provider Demographics
NPI:1659400034
Name:POLLITT, AMY RENEE
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:RENEE
Last Name:POLLITT
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 1:1810 MOORES LN
Mailing Address - Street 2:
Mailing Address - City:WEST PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45663-8970
Mailing Address - Country:US
Mailing Address - Phone:740-858-0881
Mailing Address - Fax:
Practice Address - Street 1:1810 MOORES LN
Practice Address - Street 2:
Practice Address - City:WEST PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45663-8970
Practice Address - Country:US
Practice Address - Phone:740-858-0881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide