Provider Demographics
NPI:1740852946
Name:PITTMAN, DENNY VAN (MSN, NNP-BC)
Entity type:Individual
Prefix:MR
First Name:DENNY
Middle Name:VAN
Last Name:PITTMAN
Suffix:
Gender:M
Credentials:MSN, NNP-BC
Other - Prefix:MR
Other - First Name:DENNY
Other - Middle Name:VAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:580 GALER ST APT 410
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3391
Mailing Address - Country:US
Mailing Address - Phone:479-381-1435
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3901
Practice Address - Country:US
Practice Address - Phone:206-987-4961
Practice Address - Fax:206-987-2685
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61186686363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care