Healthcare Provider Details

I. General information

NPI: 1740005271
Provider Name (Legal Business Name): MALEICE PITTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2024
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19180 J MORGAN BLVD APT 308
PARKER CO
80134-5697
US

IV. Provider business mailing address

19180 J MORGAN BLVD APT 308
PARKER CO
80134-5697
US

V. Phone/Fax

Practice location:
  • Phone: 720-365-5411
  • Fax:
Mailing address:
  • Phone: 720-365-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: