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Individual
MRS. LETHIA ANNETTE COLLINS
Active
Individual
MRS. LETHIA ANNETTE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
71000612A
IN
363LF0000X
Family Nurse Practitioner
7100612A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219360B
—
IN
Enumeration date
11/09/2005
Last updated
07/25/2008
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