Angela Fields, NURSE PRACTITIONER
Individual provider Active NPI Primary Care Nurse Practitioner · Castlewood, VA
NPI 1013364405 · NPPES record last updated May 16, 2016
Key facts
- NPI
- 1013364405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 0024173522 (VA)
- Practice address
- 1240 Ridgeway Dr
Castlewood, VA 24224-6397 - Phone
- (276) 794-9165
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 0024173522 | VA | Yes |
Addresses
Primary practice location
1240 Ridgeway Dr
Castlewood, VA 24224-6397
Mailing address
1240 Ridgeway Dr
Castlewood, VA 24224-6397
Phone (276) 794-9165
Other providers in Castlewood, VA
- Kara Bower
- Castlewood Fire and Rescue, Inc.
- Kaitlin Clay
- Jeffrey Mark Copas
- Family Preservation Services, Inc
- Benjamin Fields
- Greystone Manor, Inc.
- Guardian Assisted Living
- Laurin Keene
- Laura Lee Tiller
All providers in Castlewood, VA · Primary Care Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.