Individual provider · Type 1 NPI

Gwendolyn Fields

Family Nurse Practitioner · Southgate, MI

NPI number 1992390157 Active

Practice location

14799 Dix Toledo Rd
Southgate, MI 48195-2507

Mailing address

PO Box 24754
Detroit, MI 48224-0754

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704241900 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1992390157

Gwendolyn Fields's National Provider Identifier is 1992390157, issued on Mar 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southgate, MI. The record was last updated on Nov 3, 2023.