Doctor Name: | CATHY JUDEAN FIELDER |
NPI Number: | 1053303677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1042 |
Business Practice Address: | 202 E Galer Ave Nowata, OK - 740484422 |
Business Phone Number: | 9182730192 |
Business Fax Number: | 9182730194 |
Mailing Address: | 6150 South 4290 Road, CHELSEA |
State: | OK |
Postal Code: | 740165012 |
Phone Number: | 9186364980 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2005 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1042 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |