Provider Demographics
NPI:1679831283
Name:FIELDS, VERONICA LYNNETTE (LPN)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LYNNETTE
Last Name:FIELDS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6803 BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3465
Mailing Address - Country:US
Mailing Address - Phone:937-830-0124
Mailing Address - Fax:
Practice Address - Street 1:6803 BARBARA DR
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3465
Practice Address - Country:US
Practice Address - Phone:937-830-0124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-094308164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse