Healthcare Provider Details
I. General information
NPI: 1093114514
Provider Name (Legal Business Name): AMBER STIRLING FIELDS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/20/2014
Last Update Date: 08/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
601 E ROLLINS ST FLORIDA HOSPITAL PEDIATRIC INTENSIVISTS
ORLANDO FL
32803-1248
US
IV. Provider business mailing address
1801 LEE RD STE 165
WINTER PARK FL
32789-2127
US
V. Phone/Fax
- Phone: 407-975-0410
- Fax: 407-975-0411
- Phone: 407-975-0410
- Fax: 407-975-0411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0222X |
| Taxonomy | Critical Care Pediatric Nurse Practitioner |
| License Number | ARNP9284774 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: