Healthcare Provider Details
I. General information
NPI: 1346435229
Provider Name (Legal Business Name): PATRICIA ANN FIELDS PMHNP APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/13/2007
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PO BOX 94
SCIPIO IN
47273-0094
US
IV. Provider business mailing address
PO BOX 94
SCIPIO IN
47273-0094
US
V. Phone/Fax
- Phone: 812-352-7053
- Fax: 866-352-7053
- Phone: 812-352-7053
- Fax: 866-352-7053
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 71011532A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | 28160542A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: