Individual
ANGELA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 E 24TH AVE, COLUMBUS, OH 43219-1014
(614) 384-3091
Mailing address
1731 E 24TH AVE, COLUMBUS, OH 43219-1014
(614) 384-3091
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0097626
OH
376K00000X
Nurse's Aide
400888200409
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097626
—
OH
Enumeration date
07/29/2014
Last updated
07/29/2014
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