Basic Information
Provider Information
NPI: 1093114514
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIELDS
FirstName: AMBER
MiddleName: STIRLING
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STIRLING
OtherFirstName: AMBER
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: ARNP
OtherLastNameType: 1
Mailing Information
Address1: 1801 LEE RD STE 165
Address2:  
City: WINTER PARK
State: FL
PostalCode: 327892127
CountryCode: US
TelephoneNumber: 4079750410
FaxNumber: 4079750411
Practice Location
Address1: 601 E ROLLINS ST
Address2: FLORIDA HOSPITAL PEDIATRIC INTENSIVISTS
City: ORLANDO
State: FL
PostalCode: 328031248
CountryCode: US
TelephoneNumber: 4079750410
FaxNumber: 4079750411
Other Information
ProviderEnumerationDate: 08/20/2014
LastUpdateDate: 08/11/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0222XARNP9284774FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care

No ID Information.


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