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Individual
HEATHER COLLINS
Active
Individual
HEATHER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95029777
CA
363LF0000X
Family Nurse Practitioner
Primary
71015561A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104370286
ANTHEM PTAN
IN
05
—
300095545
—
IN
Enumeration date
08/01/2024
Last updated
05/27/2026
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