person
Ms. Mitzie Ralph Fairfield, NP
Women's Health Nurse Practitioner in Champaign, Illinois
NPI 1063580058

Mitzie Ralph Fairfield is a Women's Health Nurse Practitioner based in Foosland, IL and is specialized in Women's Health. Mitzie Ralph Fairfield practices in Champaign, IL and has the professional credentials of NP. The NPI Number for Mitzie Ralph Fairfield is 1063580058 and holds a License No. 209-000689 (Illinois).

The current practice location address for Mitzie Ralph Fairfield is 302 E. Stoughton, Champaign, IL and can be reached out via phone at 217-359-8022.

Location: 302 E. Stoughton, Champaign, IL, 61845
person
Provider Profile Details
NPI Number
1063580058
Provider Name
Mitzie Ralph Fairfield
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
302 E. Stoughton, Champaign, IL, 61845
Phone Number
217-359-8022
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
302 E. Stoughton
City
State
Zip
61820
Phone Number
217-359-8022
Fax Number
person
Provider Business Mailing Address Details
Address
302 E. Stoughton
City
State
Zip
61820
Phone Number
217-359-8022
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
209-000689 (Illinois)
Definition
Definition to come...
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