Provider Demographics
NPI:1528498011
Name:FIELDS, BRITTNEY LYNN (LPN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LYNN
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 1:8526 LOTT ROAD
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:OH
Mailing Address - Zip Code:43334
Mailing Address - Country:US
Mailing Address - Phone:740-803-1004
Mailing Address - Fax:
Practice Address - Street 1:8526 LOTT ROAD
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334
Practice Address - Country:US
Practice Address - Phone:740-803-1004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH152257-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse