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NPI Code Detail

MEDICARE: GLADYS FIELD, ADVANCED PRACTICE NURSING CORPORATION

MEDICARE: GLADYS FIELD, ADVANCED PRACTICE NURSING CORPORATION
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
1363LA2100XAcute Care Nurse Practitioner

General Provider Information

NPI Number : 1710591714
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLADYS FIELD, ADVANCED PRACTICE NURSING CORPORATION
Provider Business Mailing Address
First Line : 14062 WAGON MOUND RD
Second Line :
City : SYLMAR
State : CA
Zip : 91342-1065
Country : US
Telephone Number : 818-470-2568
Fax Number :
Provider Business Practice Location Address
First Line : 10515 BALBOA BLVD STE 290
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-6362
Country : US
Telephone Number : 818-831-8999
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GLADYS FIELD
Credential : ACNP-BC
Telephone Number : 818-470-2568
Provider Enumeration Date : 09/07/2020
Last Update Date : 09/07/2020

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