Individual
TARA ANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE STREET, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
Mailing address
3624 MARKET STREET, SUITE 560W, PHILADELPHIA, PA 19104-2617
(215) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP010118
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP010118
PA
Other
Enumeration date
01/29/2009
Last updated
08/19/2010
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