Healthcare Provider Details

I. General information

NPI: 1710313499
Provider Name (Legal Business Name): RACHEL DENISE FIELDS RN, NNP, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 FREDERICKSBURG RD SUITE 100
SAN ANTONIO TX
78229-3641
US

IV. Provider business mailing address

5414 FREDERICKSBURG RD SUITE 100
SAN ANTONIO TX
78229-3641
US

V. Phone/Fax

Practice location:
  • Phone: 210-541-8281
  • Fax: 210-541-9123
Mailing address:
  • Phone: 210-541-8281
  • Fax: 210-541-9123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberR870366
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number2607
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: