Ms Mitzie Ralph Fairfield, NP - Nurse Practitioner in Champaign, IL

Ms Mitzie Ralph Fairfield, NP is a Nurse Practitioner - Women's Health based in Champaign, Illinois. Ms Mitzie Ralph Fairfield is licensed to practice in Illinois (license number 209-000689) and her current practice location is 302 E. Stoughton, Champaign, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 359-8022.

NPI number for Ms Mitzie Ralph Fairfield is 1063580058 and her current mailing address is 615 County Rd 3400 North, Foosland, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063580058.

Contact Information

Ms Mitzie Ralph Fairfield, NP
302 E. Stoughton,
Champaign, IL 61820
(217) 359-8022
Not Available



Provider's Profile

Full NameMs Mitzie Ralph Fairfield
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location302 E. Stoughton, Champaign, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063580058
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 10/24/2008

Medical Identifiers

Medical identifiers for Ms Mitzie Ralph Fairfield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063580058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 209-000689 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mitzie Ralph Fairfield is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mitzie Ralph Fairfield, NP
615 County Rd 3400 North,
Foosland, IL 61845

Ph: (217) 897-1096
Ms Mitzie Ralph Fairfield, NP
302 E. Stoughton,
Champaign, IL 61820

Ph: (217) 359-8022

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Nurse Practitioner Nurses in Champaign, IL

Emily Stephenson, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1701 Curtis Rd, Champaign, IL 61822
Phone: 217-365-6207    Fax: 217-365-6380
Mrs. Tiffany Ann Rushing, APN, FNP-BC, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1802 S Mattis Ave, Champaign, IL 61821
Phone: 217-365-2855    Fax: 217-365-2856
Maddison P. Draper, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2718 N Prospect Ave, Champaign, IL 61822
Phone: 217-337-3852    Fax: 217-337-3853
Jessica Lynn Mandrell,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 819 Bloomington Rd, Champaign, IL 61820
Phone: 217-356-1558    
Ms. Greta Obereiner, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Windsor Rd, Champaign, IL 61822
Phone: 217-366-8130    Fax: 217-366-6106
Alger Penas, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2300 S 1st St, Champaign, IL 61820
Phone: 217-383-9400    Fax: 217-383-9691
Miss Abigayl Frields, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821
Phone: 217-383-3131    

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