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Individual

MRS. HEGLA YAKELINE FIELDING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
610561
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
610561
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610561
MEDICAL
CA
05
610561
CA
Enumeration date
07/08/2020
Last updated
09/09/2021
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