Individual
MRS. HEGLA YAKELINE FIELDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
170 S SPRUCE AVE STE 200, SOUTH SAN FRANCISCO, CA 94080-4557
(415) 722-8059
Mailing address
170 S SPRUCE AVE STE 200, SOUTH SAN FRANCISCO, CA 94080-4557
(415) 722-8059
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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