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MS. MITZIE RALPH FAIRFIELD NP
NPI 1063580058
Nurse Practitioner - Women's Health in Champaign, IL

Active since November 30, 2006
302 E. STOUGHTON, CHAMPAIGN, IL 61820(217) 359-8022 Get Directions Write a Review

NPPES record last updated: October 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mitzie Ralph Fairfield Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MITZIE RALPH FAIRFIELD NP (NPI 1063580058) is an individual women's health provider in Champaign, Illinois, licensed in Illinois (209-000689) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063580058
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. MITZIE RALPH FAIRFIELDCredential: NP
Location Address302 E. STOUGHTONChampaign, IL 61820
Mailing Address615 County Rd 3400 NorthFoosland, IL 61845 · (217) 897-1096
Phone(217) 359-8022
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateOctober 24, 2008
✔ NPI 1063580058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 209-000689
302 E. STOUGHTON, Champaign, IL 61820
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitzie Fairfield's NPI number?

The NPI number for Mitzie Fairfield is 1063580058. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Mitzie Fairfield located?

Mitzie Fairfield practices at 302 E. Stoughton, Champaign, IL 61820. The listed phone number is (217) 359-8022.

What is Mitzie Fairfield's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Mitzie Fairfield was last updated on October 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.