Healthcare Provider Details

I. General information

NPI: 1306782792
Provider Name (Legal Business Name): JULIE SULLIVAN FIELDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33221 N 15TH ST
PHOENIX AZ
85085-9034
US

IV. Provider business mailing address

515 E CAREFREE HWY # 364
PHOENIX AZ
85085-8839
US

V. Phone/Fax

Practice location:
  • Phone: 602-505-8559
  • Fax:
Mailing address:
  • Phone: 602-505-8559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: