Provider Demographics
NPI:1548405780
Name:FIELDS, CONTESSA WARD (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:CONTESSA
Middle Name:WARD
Last Name:FIELDS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301SOUTH LAMAR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655
Mailing Address - Country:US
Mailing Address - Phone:662-232-8189
Mailing Address - Fax:662-232-8145
Practice Address - Street 1:2301SOUTH LAMAR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:662-232-8189
Practice Address - Fax:662-232-8145
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25643367500000X
KY3017800367500000X
MSR851138367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered