Basic Information
| Provider Information | |||||||||
| NPI: | 1710591714 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GLADYS FIELD, ADVANCED PRACTICE NURSING CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14062 WAGON MOUND RD | ||||||||
| Address2: | |||||||||
| City: | SYLMAR | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913421065 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8184702568 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10515 BALBOA BLVD STE 290 | ||||||||
| Address2: | |||||||||
| City: | GRANADA HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913446362 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188318999 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/07/2020 | ||||||||
| LastUpdateDate: | 09/07/2020 | ||||||||
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| AuthorizedOfficialLastName: | FIELD | ||||||||
| AuthorizedOfficialFirstName: | GLADYS | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8184702568 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | ACNP-BC | ||||||||
| NPICertificationDate: | 09/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.