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NPI Code Detail

MEDICARE: RICHARD L FIELDS FNP

MEDICARE:   RICHARD L FIELDS  FNP
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
1363L00000XNurse PractitionerR11441MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558382333
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD L FIELDS FNP
Provider Business Mailing Address
First Line : PO BOX 1459
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912
Country : US
Telephone Number : 406-892-3208
Fax Number : 406-892-4535
Provider Business Practice Location Address
First Line : 2165 9TH ST WEST
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912
Country : US
Telephone Number : 406-892-3208
Fax Number : 406-892-4535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 09/03/2010

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