Individual provider · Type 1 NPI
Tyson M. Fieldsted
Primary Care Nurse Practitioner · Bakersfield, CA
NPI number
1760884530
Active
Practice location
230 S Montclair St Ste 100
Bakersfield, CA 93309-3117
Mailing address
9906 Barnes Dr
Bakersfield, CA 93311-3039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001306 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95001306 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1760884530
Tyson M. Fieldsted's National Provider Identifier is 1760884530, issued on Sep 23, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bakersfield, CA. The record was last updated on Oct 25, 2018.