Individual
CAROL LYNN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
10875 N 47TH ST, AUGUSTA, MI 49012-9637
(269) 967-9699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704265605
MI
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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