# CHRISTIANNE LENETT COLLINS

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

## Provider details

- **NPI number:** 1275560138
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704224929 | MI | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 02/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5008701110 | BLUE CROSS BLUE SHIELD | MI |