Healthcare Provider Details

I. General information

NPI: 1255246914
Provider Name (Legal Business Name): ERICA FIELDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 E OLEANDER AVE
FRESNO CA
93706-3038
US

IV. Provider business mailing address

231 E OLEANDER AVE
FRESNO CA
93706-3038
US

V. Phone/Fax

Practice location:
  • Phone: 559-369-0526
  • Fax:
Mailing address:
  • Phone: 559-369-0526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number02204099
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: