Individual
FAITH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 999-9999
Mailing address
38 FENWOOD DR, BELLEVILLE, IL 62220-3036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019014016
MO
363LF0000X
Family Nurse Practitioner
209018695
IL
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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