Provider Demographics
NPI:1376670182
Name:FIELDER, REBECCA MICHELLE
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MICHELLE
Last Name:FIELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 FLORIN RD
Mailing Address - Street 2:STE 22
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4483
Mailing Address - Country:US
Mailing Address - Phone:916-519-1435
Mailing Address - Fax:916-391-1811
Practice Address - Street 1:2251 FLORIN RD
Practice Address - Street 2:STE 22
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4483
Practice Address - Country:US
Practice Address - Phone:916-519-1435
Practice Address - Fax:916-391-1811
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)