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NPI Code Detail

MEDICARE: MS. MARSHA ELAINE FIELDS ARNP

MEDICARE: MS. MARSHA ELAINE FIELDS ARNP
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
1363LW0102XWomen's Health Nurse Practitioner1064228KY

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 : 1568442291
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARSHA ELAINE FIELDS ARNP
Provider Business Mailing Address
First Line : 3015 WILSON AVE.
Second Line : PARK DUVALLE COMMUNITY HEALTH CENTER, INC.
City : LOUISVILLE
State : KY
Zip : 40211-1969
Country : US
Telephone Number : 502-774-4401
Fax Number : 502-772-4783
Provider Business Practice Location Address
First Line : 3015 WILSON AVE.
Second Line :
City : LOUISVILLE
State : KY
Zip : 40211-1969
Country : US
Telephone Number : 502-774-4401
Fax Number : 502-772-4783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 08/07/2012

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