Provider Demographics
NPI:1932668399
Name:PITTS, MEGAN ANNE
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:ANNE
Last Name:PITTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ANNE
Other - Last Name:MCDERMOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1902 CARDIGAN ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:OH
Mailing Address - Zip Code:44446-3906
Mailing Address - Country:US
Mailing Address - Phone:330-219-0670
Mailing Address - Fax:
Practice Address - Street 1:7629 MARKET ST STE 100
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-6051
Practice Address - Country:US
Practice Address - Phone:330-965-4880
Practice Address - Fax:330-965-4889
Is Sole Proprietor?:No
Enumeration Date:2019-03-15
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH024032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily