# SANDRICKA N COLLIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154700961
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 02007376A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 036.153905 | IL | — |
| 207V00000X | Obstetrics & Gynecology Physician | 036153905 | IL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | UO4475 | FL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 09/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1103135342 | ANTHEM | IN |
| 05 | — | 300078377 | — | IN |
