Individual
MRS. MICHELLE RENEA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
403 S HIGH STREET, NONE, CALHOUN, MO 65323
(660) 525-4579
Mailing address
403 S HIGH ST, CALHOUN, MO 65323-1403
(660) 525-4579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018015020
MO
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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