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Individual

NANCY B FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, BC

Contact information

Practice address
1508 WINDING WAY, ANDERSON, IN 46011-1662
(765) 644-5718
Mailing address
1508 WINDING WAY, ANDERSON, IN 46011-1662

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002319A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000589791
ANTHEM
IN
05
200917800
IN
01
P01018459
RR MEDICARE PIN
IN
01
P01019185
RR MEDICARE PIN
IN
Enumeration date
01/10/2007
Last updated
08/28/2019
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