Provider Demographics
NPI:1407049240
Name:FEILD, GLENDA M (RN)
Entity Type:Individual
Prefix:MRS
First Name:GLENDA
Middle Name:M
Last Name:FEILD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 WHITEHALL CT
Mailing Address - Street 2:
Mailing Address - City:EADS
Mailing Address - State:TN
Mailing Address - Zip Code:38028-3300
Mailing Address - Country:US
Mailing Address - Phone:901-466-1205
Mailing Address - Fax:901-466-9441
Practice Address - Street 1:430 WHITEHALL CT
Practice Address - Street 2:
Practice Address - City:EADS
Practice Address - State:TN
Practice Address - Zip Code:38028-3300
Practice Address - Country:US
Practice Address - Phone:901-466-1205
Practice Address - Fax:901-466-9441
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN77288163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical