MEDICARE: MS. LORRAINE BELLE FIELDS CNS

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
1	364SC0200X	Critical Care Medicine Clinical Nurse Specialist	NS05795	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	E05795	OTHER	OH	RX NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235172453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORRAINE BELLE FIELDS CNS

Provider Business Mailing Address
First Line	:	13252 WILLIAMSBURG AVE NW
Second Line	:
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-8267
Country	:	US
Telephone Number	:	330-699-0648
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E. MARKET ST.
Second Line	:	SUMMA HEALTH SYSTEM
City	:	AKRON
State	:	OH
Zip	:	44309-2090
Country	:	US
Telephone Number	:	330-375-6103
Fax Number	:	330-375-7412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/07/2023

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