Healthcare Provider Details

I. General information

NPI: 1659299337
Provider Name (Legal Business Name): CHANIA FIELDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27600 CHARDON RD APT 373
WILLOUGHBY HILLS OH
44092-2777
US

IV. Provider business mailing address

27600 CHARDON RD APT 373
WILLOUGHBY HILLS OH
44092-2777
US

V. Phone/Fax

Practice location:
  • Phone: 440-728-7205
  • Fax:
Mailing address:
  • Phone: 440-728-7205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number194344
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: