Provider Demographics
NPI:1902246234
Name:DREXELIUS, LETITIA ANN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LETITIA
Middle Name:ANN
Last Name:DREXELIUS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LETITIA
Other - Middle Name:ANN
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7495 W 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-8002
Mailing Address - Country:US
Mailing Address - Phone:303-360-6276
Mailing Address - Fax:303-761-2782
Practice Address - Street 1:17866 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3924
Practice Address - Country:US
Practice Address - Phone:303-360-6276
Practice Address - Fax:303-205-6897
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0990558-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily