Doctor Name: | ANGELA PRUITT FIELDS |
NPI Number: | 1275900839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 5007922 |
Business Practice Address: | 1249 Chicken Foot Rd Hope Mills, NC - 283487525 |
Business Phone Number: | 9104231278 |
Business Fax Number: | 9102727141 |
Mailing Address: | 1249 Chicken Foot Rd, HOPE MILLS |
State: | NC |
Postal Code: | 283487525 |
Phone Number: | 9104231278 |
Fax Number: | 9102727141 |
NPI Enumeration Date: | 08/28/2015 |
NPI Last Update Date: | 08/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5007922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |