Healthcare Provider Details

I. General information

NPI: 1598601809
Provider Name (Legal Business Name): AMANDA MICHELLE FIELD CNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 DESIARD ST
MONROE LA
71201-7207
US

IV. Provider business mailing address

215 FLOYD LENARD RD
WEST MONROE LA
71292-0625
US

V. Phone/Fax

Practice location:
  • Phone: 318-388-1250
  • Fax: 318-388-0948
Mailing address:
  • Phone: 318-388-1250
  • Fax: 318-388-0948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number242697
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: