Healthcare Provider Details

I. General information

NPI: 1063398642
Provider Name (Legal Business Name): HANNAH FIELDS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 VILLAGE SQUARE XING STE 150
PALM BEACH GARDENS FL
33410-4549
US

IV. Provider business mailing address

900 VILLAGE SQUARE XING STE 150
PALM BEACH GARDENS FL
33410-4549
US

V. Phone/Fax

Practice location:
  • Phone: 561-247-9928
  • Fax: 561-268-0158
Mailing address:
  • Phone: 561-247-9928
  • Fax: 561-268-0158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number11041909
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number9443891
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: