Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Mitzie Ralph Fairfield, NP

Individual provider Women's Health Nurse Practitioner · NPI 1063580058

MS. Mitzie Ralph Fairfield, NP is a Women's Health Nurse Practitioner in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

302 E Stoughton
Champaign, IL 61820
Phone: (217) 359-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 209-000689 (IL)

Record details

NPI number1063580058
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESOctober 24, 2008

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