Individual
MS. YVETTE ELIZABETH FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6100 PAN AMERICAN FREEWAY NE, SUITE 330, ALBUQUERQUE, NM 87109-3427
(505) 856-2735
(505) 856-2749
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(858) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
97PA07
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10036688
CIGNA
NM
01
—
202027598
PRESBYTERIAN
NM
01
—
7671173
AETNA
NM
01
—
97PA07
STATE LICENSE
NM
01
—
NM00RG98
BCBS OF NM
NC
01
—
NM300099
MEDICARE PTAN
NV
05
—
P3701
—
NM
01
—
QMP000003410190
MOLINA
NM
Enumeration date
05/02/2007
Last updated
05/13/2019
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