Individual
TYSON M. FIELDSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 S MONTCLAIR ST STE 100, BAKERSFIELD, CA 93309-3117
(661) 473-1533
Mailing address
9906 BARNES DR, BAKERSFIELD, CA 93311-3039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95001306
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95001306
CA
Other
Enumeration date
09/23/2014
Last updated
10/25/2018
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