Individual
CAROL L COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
20414 N 27TH AVE, PHOENIX, AZ 85027-3250
(602) 849-0115
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 480-2550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP30005619
WA
363LF0000X
Family Nurse Practitioner
Primary
AP4970
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9621244
—
WA
Enumeration date
07/08/2006
Last updated
11/07/2024
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