MEDICARE: DARLENE MICHELLE FIELDS CRNA

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	367500000X	Certified Registered Nurse Anesthetist	RN500192	CA

General Provider Information

NPI Number	:	1730146903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE MICHELLE FIELDS CRNA

Provider Business Mailing Address
First Line	:	PO BOX 18923
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94619-0923
Country	:	US
Telephone Number	:	510-339-3912
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 18923
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94619-0923
Country	:	US
Telephone Number	:	510-269-1792
Fax Number	:

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	02/25/2025

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