Provider Demographics
NPI:1952765794
Name:PITTS, EMILY (CRNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:PITTS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5295 PRESERVE PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4702
Mailing Address - Country:US
Mailing Address - Phone:205-682-6077
Mailing Address - Fax:205-682-7646
Practice Address - Street 1:5295 PRESERVE PKWY STE 210
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4702
Practice Address - Country:US
Practice Address - Phone:205-682-6077
Practice Address - Fax:205-682-7646
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-130609363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health