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NPI Code Detail

MEDICARE: NICOLE FIELDS APNP

MEDICARE: NICOLE FIELDS APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse23265630WI
2363LF0000XFamily Nurse Practitioner11655-33WI

General Provider Information

NPI Number : 1467119388
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE FIELDS APNP
Provider Business Mailing Address
First Line : 3 NEENAH CTR
Second Line :
City : NEENAH
State : WI
Zip : 54956-3070
Country : US
Telephone Number : 920-831-5050
Fax Number :
Provider Business Practice Location Address
First Line : 2400 E CAPITOL DR
Second Line :
City : APPLETON
State : WI
Zip : 54911-8728
Country : US
Telephone Number : 920-831-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2021
Last Update Date : 01/16/2026

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Directions to “ NICOLE FIELDS APNP” Practice Location

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