Provider Demographics
NPI:1700186285
Name:NDIRITU, PITTY
Entity Type:Individual
Prefix:
First Name:PITTY
Middle Name:
Last Name:NDIRITU
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 1:64 REDGATE RD
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-1900
Mailing Address - Country:US
Mailing Address - Phone:978-726-1084
Mailing Address - Fax:978-296-3459
Practice Address - Street 1:64 REDGATE RD
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-1900
Practice Address - Country:US
Practice Address - Phone:978-726-1084
Practice Address - Fax:978-296-3459
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262798163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse