Individual
MRS. DEA NASON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
229 W STEWART AVE, MEDFORD, OR 97501-3663
(541) 282-8808
(541) 618-6452
Mailing address
2900 DOCTORS PARK DR, SUITE 250, MEDFORD, OR 97504-8198
(541) 282-8808
(541) 618-6452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
097006629N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028285
—
OR
01
—
R105049
MEDICARE GROUP PIN
OR
Enumeration date
06/28/2005
Last updated
04/15/2021
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