Latisha Olivia Bristol in Glen Allen - Physician Assistant

Latisha Olivia Bristol - NPI 1265597538

Latisha Olivia Bristol is a Physician Assistant in Glen Allen, Virginia. Latisha Olivia Bristol practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Latisha Olivia Bristol is 1265597538. The last update date is 2021-02-15.

Latisha Olivia Bristol's current location address is 5000 Cox Rd, Glen Allen, Virginia. You can contact this provider via phone number 8049685700. The mailing address for Latisha Olivia Bristol is 5000 Cox Rd, Glen Allen, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Latisha Olivia Bristol
Address 5000 Cox Rd, Glen Allen, Virginia
Phone Number 8049685700
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1265597538
Provider Enumeration Date 2006-12-26
Last Updated Date 2021-02-15

Provider Mailing Address Detail

Address 5000 Cox Rd
City Glen Allen
State Virginia (VA)
Post Code 230609263
Phone Number 8049685700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 110004651
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Latisha Olivia Bristol

What is the unique identification code assigned to Latisha Olivia Bristol by the Centers for Medicare & Medicaid Services?

The Latisha Olivia Bristol has been issued the NPI (National Provider Identifier) 1265597538. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Latisha Olivia Bristol is geographically located?

The Latisha Olivia Bristol is physically situated at the following location: 5000 Cox Rd, Glen Allen, VA, 230609263.

What is Latisha Olivia Bristol's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Latisha Olivia Bristol is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When was the Latisha Olivia Bristol's 1265597538 issued?

The Latisha Olivia Bristol's 1265597538 was issued on 2006-12-26.

As of what date was the information pertaining to Latisha Olivia Bristol, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Latisha Olivia Bristol, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-15.

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