Provider Demographics
NPI:1891776878
Name:WILLIAMS-FIELDS, CHERYL WILLISE (HFA)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:WILLISE
Last Name:WILLIAMS-FIELDS
Suffix:
Gender:F
Credentials:HFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4019 CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-4838
Mailing Address - Country:US
Mailing Address - Phone:317-549-8999
Mailing Address - Fax:317-549-0619
Practice Address - Street 1:2021 E 52ND ST
Practice Address - Street 2:SUITE 206
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-1486
Practice Address - Country:US
Practice Address - Phone:317-549-8999
Practice Address - Fax:317-549-0619
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist