Provider Demographics
NPI:1548876436
Name:PITTER, DONNA (FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:PITTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 PELHAM RD APT 3J
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1020
Mailing Address - Country:US
Mailing Address - Phone:718-753-9640
Mailing Address - Fax:
Practice Address - Street 1:730 PELHAM RD APT 3J
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1020
Practice Address - Country:US
Practice Address - Phone:718-753-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY345522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily