Healthcare Provider Details

I. General information

NPI: 1740852946
Provider Name (Legal Business Name): DENNY VAN PITTMAN MSN, NNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MR. DENNY VAN NGUYEN

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 07/15/2021
Certification Date: 07/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

580 GALER ST APT 410
SEATTLE WA
98109-3391
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-4961
  • Fax: 206-987-2685
Mailing address:
  • Phone: 479-381-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAP61186686
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: