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NPI Code Detail

MEDICARE: AMANDA MICHELLE FIELD CNPC

MEDICARE: AMANDA MICHELLE FIELD CNPC
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
1363LP0200XPediatric Nurse Practitioner242697LA

General Provider Information

NPI Number : 1598601809
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MICHELLE FIELD CNPC
Provider Business Mailing Address
First Line : 215 FLOYD LENARD RD
Second Line :
City : WEST MONROE
State : LA
Zip : 71292-0625
Country : US
Telephone Number : 318-388-1250
Fax Number : 318-388-0948
Provider Business Practice Location Address
First Line : 2913 DESIARD ST
Second Line :
City : MONROE
State : LA
Zip : 71201-7207
Country : US
Telephone Number : 318-388-1250
Fax Number : 318-388-0948
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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