Provider Demographics
NPI:1093937450
Name:FIELD, PAMELA RAE (RN C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:RAE
Last Name:FIELD
Suffix:
Gender:F
Credentials:RN C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5305 MOUNTAIN RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6417
Mailing Address - Country:US
Mailing Address - Phone:505-265-5008
Mailing Address - Fax:
Practice Address - Street 1:5305 MOUNTAIN RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6417
Practice Address - Country:US
Practice Address - Phone:505-265-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR30082163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health