Healthcare Provider Details

I. General information

NPI: 1295489912
Provider Name (Legal Business Name): ALECIA COTTINGHAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALECIA MEHRA NP

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 E MARSHALL ST
RICHMOND VA
23298-5023
US

IV. Provider business mailing address

PO BOX 780125
PHILADELPHIA PA
19178-0125
US

V. Phone/Fax

Practice location:
  • Phone: 804-628-4327
  • Fax: 804-828-7710
Mailing address:
  • Phone: 804-922-4844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number0024182978
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number0024182978
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024182978
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: