Provider Demographics
NPI:1962828541
Name:FIELDS, WENDY SMITH (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:SMITH
Last Name:FIELDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 FAYETTEVILLE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5333
Mailing Address - Country:US
Mailing Address - Phone:919-551-5800
Mailing Address - Fax:929-336-4725
Practice Address - Street 1:5720 FAYETTEVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5333
Practice Address - Country:US
Practice Address - Phone:919-551-5800
Practice Address - Fax:919-336-4725
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily