Individual
MS. MARSHA ELAINE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3015 WILSON AVE., LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4783
Mailing address
3015 WILSON AVE., PARK DUVALLE COMMUNITY HEALTH CENTER, INC., LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4783
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1064228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001534
—
KY
Enumeration date
01/19/2006
Last updated
08/07/2012
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