Individual
MIRANDA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5539 VA-47, CHASE CITY, VA 23924
(434) 372-8885
Mailing address
7042 UPPER POSSUM CREEK RD, GATE CITY, VA 24251-3445
(423) 361-2731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177228
VA
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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