Provider Demographics
NPI:1831719822
Name:COFIELD, LETITIA ALESHIA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LETITIA
Middle Name:ALESHIA
Last Name:COFIELD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4830 GLENMORGAN CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6596
Mailing Address - Country:US
Mailing Address - Phone:804-687-6747
Mailing Address - Fax:
Practice Address - Street 1:3974 SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-4119
Practice Address - Country:US
Practice Address - Phone:804-273-1717
Practice Address - Fax:804-273-1834
Is Sole Proprietor?:No
Enumeration Date:2020-04-20
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179072363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner