Provider Demographics
NPI:1144035320
Name:PITFIELD, ANNA OUBRE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:OUBRE
Last Name:PITFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10372 GRAND PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-7989
Mailing Address - Country:US
Mailing Address - Phone:601-408-5919
Mailing Address - Fax:
Practice Address - Street 1:10372 GRAND PLAZA DR
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-7989
Practice Address - Country:US
Practice Address - Phone:601-408-5919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program