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Individual
REILEY COLLINS
Active
Individual
REILEY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8935-023
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801571047
—
WI
Enumeration date
06/15/2023
Last updated
08/18/2026
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