Provider Demographics
NPI:1821242587
Name:FIELDS, ALICE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:ELIZABETH
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALICE
Other - Middle Name:ELIZABETH
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13 FOX MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:LOVETTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20180-8527
Mailing Address - Country:US
Mailing Address - Phone:540-554-1037
Mailing Address - Fax:703-842-8152
Practice Address - Street 1:17340 PICKWICK DR STE 130
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132
Practice Address - Country:US
Practice Address - Phone:540-554-1037
Practice Address - Fax:703-842-8152
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012446562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101244656OtherVA LICENSE #
VAFF7003697OtherDRUG ENFORCEMENT AGENCY