Individual
AMBER FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 429-1088
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.020040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192000
—
OH
Enumeration date
10/12/2016
Last updated
01/21/2021
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