Individual
HEATHER IRENE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD, MAIL STOP #66, LOS ANGELES, CA 90027-6062
(323) 361-4148
(323) 361-3668
Mailing address
4650 W SUNSET BLVD, MAIL STOP #66, LOS ANGELES, CA 90027-6062
(323) 361-4148
(323) 361-3668
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19806
CA
Other
Enumeration date
03/09/2011
Last updated
02/15/2013
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