Doctor Name: | MS. WENDY SMITH FIELDS |
NPI Number: | 1962828541 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 5006791 |
Business Practice Address: | 189 County Park Rd Yanceyville, NC - 273799376 |
Business Phone Number: | 3366944129 |
Business Fax Number: | |
Mailing Address: | 189 County Park Rd, Po Box 1238 YANCEYVILLE |
State: | NC |
Postal Code: | 273799376 |
Phone Number: | 3366944129 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2014 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5006791 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |