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Individual

CASSANDRA FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009934
KY
367A00000X
Advanced Practice Midwife
Primary
3009934
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3009934
LICENSE
KY
05
7100378890
KY
Enumeration date
12/10/2015
Last updated
01/26/2016
Update your record

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