MEDICARE: ERICA NICOLE PITTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	400747260508	OH

General Provider Information

NPI Number	:	1144901505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA NICOLE PITTS

Provider Business Mailing Address
First Line	:	1031 LOCKMAN AVE # 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4536
Country	:	US
Telephone Number	:	513-349-7235
Fax Number	:	513-349-7235

Provider Business Practice Location Address
First Line	:	1031 LOCKMAN AVE # 1
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-4536
Country	:	US
Telephone Number	:	513-349-7235
Fax Number	:	513-349-7235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	07/28/2023

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Directions to “ ERICA NICOLE PITTS ” Practice Location

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