Provider Demographics
NPI:1326886755
Name:COFIELD, KOMFORT (FNP-C)
Entity type:Individual
Prefix:MS
First Name:KOMFORT
Middle Name:
Last Name:COFIELD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 GREEN MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-7134
Mailing Address - Country:US
Mailing Address - Phone:256-454-6568
Mailing Address - Fax:
Practice Address - Street 1:96 ALI WAY
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1835
Practice Address - Country:US
Practice Address - Phone:256-832-8802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF06240994363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily