Healthcare Provider Details

I. General information

NPI: 1174162291
Provider Name (Legal Business Name): BRANDI ELIZABETH FIELDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 HOSPITAL DR
DUBLIN OH
43016-8518
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-8000
  • Fax: 614-544-8087
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN.CNM.019424
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: