Individual
BETH RAE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1513 N 6TH 1/2 ST, TERRE HAUTE, IN 47807-1039
(812) 238-7631
Mailing address
PO BOX 2505, INDIANAPOLIS, IN 46206-2505
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000887A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200371390
—
IN
01
—
500013624
RR MEDICARE
IN
Enumeration date
12/15/2005
Last updated
10/18/2010
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