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Individual

MRS. LETHIA ANNETTE COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP, RNFA

Contact information

Practice address
10017 COUNTY LINE RD, SELLERSBURG, IN 47172-9207
(812) 246-8710
Mailing address
10017 COUNTY LINE RD, SELLERSBURG, IN 47172-9207
(812) 246-8710
(812) 949-7179

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
71000612A
IN
363LF0000X
Family Nurse Practitioner
7100612A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200219360B
IN
Enumeration date
11/09/2005
Last updated
07/25/2008
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