Healthcare Provider Details

I. General information

NPI: 1801318407
Provider Name (Legal Business Name): TERESA LITTLEFIELD MSN, RN, RNCMNN, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4863 N NEVADA AVE # 229
COLORADO SPRINGS CO
80918-3951
US

IV. Provider business mailing address

4863 N NEVADA AVE # 229
COLORADO SPRINGS CO
80918-3951
US

V. Phone/Fax

Practice location:
  • Phone: 719-309-7260
  • Fax:
Mailing address:
  • Phone: 719-309-7260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number256412
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number1622281
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: