Healthcare Provider Details

I. General information

NPI: 1841361573
Provider Name (Legal Business Name): DEBORAH LOUISE PITTMAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 NORTH ST STE 1A
HYANNIS MA
02601-3834
US

IV. Provider business mailing address

4 NORMAN AVE
NEWBURYPORT MA
01950-3627
US

V. Phone/Fax

Practice location:
  • Phone: 508-862-3672
  • Fax:
Mailing address:
  • Phone: 508-451-2557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number123984
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number123984
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: