MEDICARE: KAITLIN MARIE FIELDER MSN, APRN, FNP-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	LG-0011521	DE

General Provider Information

NPI Number	:	1962001180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN MARIE FIELDER MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	21 W CLARKE AVE STE 1410
Second Line	:
City	:	MILFORD
State	:	DE
Zip	:	19963-1857
Country	:	US
Telephone Number	:	302-467-3200
Fax Number	:	302-412-4373

Provider Business Practice Location Address
First Line	:	21 W CLARKE AVE STE 1410
Second Line	:
City	:	MILFORD
State	:	DE
Zip	:	19963-1857
Country	:	US
Telephone Number	:	302-467-3200
Fax Number	:	302-412-4373

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	10/29/2024

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