Individual
MELISSA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2340 E 10TH ST, INDIANAPOLIS, IN 46201-2008
(317) 957-2070
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71005630A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201316410
—
IN
01
—
P01512401
RR MEDICARE
IN
Enumeration date
08/05/2015
Last updated
08/14/2023
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