=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598601809
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMANDA MICHELLE FIELD CNPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 04/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2913 DESIARD ST
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71201-7207
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-388-1250
-----------------------------------------------------
Fax | 318-388-0948
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 215 FLOYD LENARD RD
-----------------------------------------------------
City | WEST MONROE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71292-0625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-388-1250
-----------------------------------------------------
Fax | 318-388-0948
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Nurse Practitioner
-----------------------------------------------------
License Number | 242697
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------