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Individual

EDWARD MICHAEL COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
2550 SAMARITAN DR STE 121, LAS CRUCES, NM 88001-1170
(575) 522-7247
Mailing address
3113 MOONLIGHT RIDGE ARC, LAS CRUCES, NM 88011-1639
(201) 406-8786

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NO111105
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ00128900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
76576
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144843
NJ
Enumeration date
01/18/2007
Last updated
07/20/2024
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