Individual
MARK WAYNE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
615 CUMBERLAND ST, LEBANON, PA 17042-5233
(717) 273-6741
(717) 273-6337
Mailing address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 273-6741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017583
PA
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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