Provider Demographics
NPI:1679721104
Name:MCFIELD, VIVIA II
Entity type:Individual
Prefix:
First Name:VIVIA
Middle Name:
Last Name:MCFIELD
Suffix:II
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ROCKAWAY PKWY
Mailing Address - Street 2:APT # 2E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3447
Mailing Address - Country:US
Mailing Address - Phone:347-627-5840
Mailing Address - Fax:
Practice Address - Street 1:165 ROCKAWAY PKWY
Practice Address - Street 2:APT # 2E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3447
Practice Address - Country:US
Practice Address - Phone:347-627-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258610164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse