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NPI Code Detail

MEDICARE: MRS. MARGENE DEANN FIELDS APRNBC

MEDICARE:  MRS. MARGENE DEANN FIELDS  APRNBC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP3003935WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205834520
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARGENE DEANN FIELDS APRNBC
Provider Business Mailing Address
First Line : PO BOX 279
Second Line : N 24261 US HIGHWAY 101
City : HOODSPORT
State : WA
Zip : 98548-0279
Country : US
Telephone Number : 360-877-0372
Fax Number : 360-877-0565
Provider Business Practice Location Address
First Line : 24261 NORTH U.S. HIGHWAY 101
Second Line :
City : HOODSPORT
State : WA
Zip : 98548-0279
Country : US
Telephone Number : 360-877-0372
Fax Number : 360-877-0565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. MARGENE DEANN FIELDS APRNBC” Practice Location

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