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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS LATISHA OLIVIA BRISTOL, PA

Active

MISS LATISHA OLIVIA BRISTOL, PA is a Physician Assistant healthcare provider located in STAFFORD, Virginia. NPI 1265597538 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STAFFORD, VA

Registration Details

NPI Number
1265597538
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2006 (19.449211043694 yrs)
Last Updated
Feb 15, 2021
Licenses
0110004651 (VA)
PA030279 (DC)

Practice Information

Address
60 PROSPERITY LN
STAFFORD, VA, 225564605
Browse VA providers · Browse ZIP 22556
Phone
5406582811
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in STAFFORD, VA

Name Credential NPI
MR. DENNIS L. FAIR P.A.C. 1629074331
ERIKA BOKA PA-C 1679556781
MR. AMIN M. KARKAIN PA-C 1518938299
ATHENA BEVETTE BALDWIN PA-C 1215943055
MS. DIANA J ORTMAN PA-C 1376645275
MRS. SARAH MARIE MEST PA-C 1699847111
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.