Individual
ALEXANDRA N COLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 923-7940
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13493-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022096964
WI
Other
Enumeration date
12/20/2022
Last updated
03/13/2023
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