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NPI Code Detail

MEDICARE: AMANDA REAMES PITTELLI NP

MEDICARE: AMANDA REAMES PITTELLI NP
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
1363LW0102XWomen's Health Nurse Practitioner1047310DC
2363LW0102XWomen's Health Nurse Practitioner231893MD
3363LW0102XWomen's Health Nurse Practitioner9373450FL
4363LW0102XWomen's Health Nurse PractitionerRN1047310DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y0KY2OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
39373450OTHERFLFL BOARD OF NURSING

General Provider Information

NPI Number : 1154742047
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA REAMES PITTELLI NP
Provider Business Mailing Address
First Line : 303 S BROADWAY # 200-357
Second Line :
City : DENVER
State : CO
Zip : 80209-1558
Country : US
Telephone Number : 804-239-6567
Fax Number :
Provider Business Practice Location Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 804-239-6567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2013
Last Update Date : 05/07/2025

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