Individual
TAMMIE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 RENSHAW DR, SAINT LOUIS, MO 63135-2832
(314) 201-0680
(314) 300-8840
Mailing address
1111 RENSHAW DR, SAINT LOUIS, MO 63135-2832
(314) 201-0680
(314) 300-8840
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-1394805
TRANSPORTATION PROVIDER
MO
Enumeration date
06/11/2020
Last updated
06/11/2020
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