Individual
ANGELA PRUITT FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
610 E DR MARTIN LUTHER KING JR DR, MAXTON, NC 28364-1800
(910) 844-5253
Mailing address
60 COMMERCE PLAZA CIR, PEMBROKE, NC 28372-7386
(910) 521-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007922
NC
Other
Enumeration date
08/28/2015
Last updated
12/14/2016
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