Provider Demographics
NPI:1326813312
Name:FIELDS, SARA (FNTP, MRWP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:FNTP, MRWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 806
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-0806
Mailing Address - Country:US
Mailing Address - Phone:804-496-1757
Mailing Address - Fax:
Practice Address - Street 1:13412 DYSON TRAIL CIR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7485
Practice Address - Country:US
Practice Address - Phone:804-496-1757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach