1053454868 NPI number — PAMELA FIELDS NURSE PRACTITIONER PA

Table of content: (NPI 1053454868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053454868 NPI number — PAMELA FIELDS NURSE PRACTITIONER PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAMELA FIELDS NURSE PRACTITIONER PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053454868
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 16820
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOISE
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83715-6820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-344-6080
Provider Business Mailing Address Fax Number:
208-323-9070

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 N 2ND ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
BOISE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83702-6109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-344-6080
Provider Business Practice Location Address Fax Number:
208-323-9070
Provider Enumeration Date:
02/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FIELDS
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
208-344-6080

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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