Healthcare Provider Details

I. General information

NPI: 1275413312
Provider Name (Legal Business Name): NICHOLAS ADDISON FIELD PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SUNNYBROOK RD
RALEIGH NC
27610-1855
US

IV. Provider business mailing address

1028 MOUNTAIN LAUREL DR
RALEIGH NC
27603-8658
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-8000
  • Fax:
Mailing address:
  • Phone: 919-605-3992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number0010-16006
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: