Individual
LISA MARIE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 916-7500
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
694362
TX
363L00000X
Nurse Practitioner
AP124100
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
694362
TX
Other
Enumeration date
04/11/2013
Last updated
02/08/2023
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