MEDICARE: MRS. ALMA JEAN FIELDS R.N., F.N.P.-C

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
1	363LF0000X	Family Nurse Practitioner	RN 226565	CA

General Provider Information

NPI Number	:	1629060967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALMA JEAN FIELDS R.N., F.N.P.-C

Provider Business Mailing Address
First Line	:	1600 EUREKA RD
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3027
Country	:	US
Telephone Number	:	916-784-5880
Fax Number	:	916-784-5662

Provider Business Practice Location Address
First Line	:	1600 EUREKA RD
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661-3027
Country	:	US
Telephone Number	:	916-784-4169
Fax Number	:	916-784-5662

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/09/2007

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