Provider Demographics
NPI:1710591714
Name:GLADYS FIELD, ADVANCED PRACTICE NURSING CORPORATION
Entity Type:Organization
Organization Name:GLADYS FIELD, ADVANCED PRACTICE NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP-BC
Authorized Official - Phone:818-470-2568
Mailing Address - Street 1:14062 WAGON MOUND RD
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1065
Mailing Address - Country:US
Mailing Address - Phone:818-470-2568
Mailing Address - Fax:
Practice Address - Street 1:10515 BALBOA BLVD STE 290
Practice Address - Street 2:
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-6362
Practice Address - Country:US
Practice Address - Phone:818-831-8999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-07
Last Update Date:2020-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty