Individual
CHARLI MARTHA FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 W. OUTER DRIVE, DETROIT, MI 48219
(734) 363-7307
Mailing address
17324 WASHBURN ST, DETROIT, MI 48221-2441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704334299
MI
163WI0500X
Infusion Therapy Registered Nurse
4704334299
MI
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4704334299
MI
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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