Individual
KELLI BROOKE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
(972) 518-2100
Mailing address
NORTHSTAR ANESTHESIA, PA, 6225 N. STATE HWY 161 STE# 200, IRVING, TX 75038
(214) 687-0001
(972) 518-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN222388
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN222388
GA
Other
Enumeration date
10/01/2017
Last updated
11/13/2017
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