Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MITZIE RALPH FAIRFIELD, NP
ActiveMS. MITZIE RALPH FAIRFIELD, NP is a Women's Health Nurse Practitioner healthcare provider located in CHAMPAIGN, Illinois. NPI 1063580058 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1063580058
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2006 (19.748278209554 yrs)
- Last Updated
- Oct 24, 2008
- License
-
209-000689 (IL)
Practice Information
- Address
-
302 E. STOUGHTONCHAMPAIGN, IL, 61820Browse IL providers · Browse ZIP 61820
- Phone
- 2173598022
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
Other Women's Health Nurse Practitioner Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN MILLER | NP | 1164597647 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.