NPI 1033889647

Charla Fields, CHWCCPHT

Practitioner Community Health Worker Republic, MO

Practice location

Address: 1173 E Hines St, Republic, MO 65738-1277
Phone: (417) 735-0055

Registered specialties (2)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 13248 (MO)

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Pharmacy Technician

Pharmacy Service Providers Taxonomy 183700000X Licence 2011006391 (MO)

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Registry record

NPI: 1033889647
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2021
Record last updated: 15 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.