Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.019330 | OH |
NPI | 1043669658 |
---|---|
Provider Name | Mrs. Saida Denise Fields |
First Address | Warrensville Heights, OH 44128-5757 |
Second Address | Warrensville Heights, OH 44128-5757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2016 |
Last Update Date | 15/11/2021 |