Individual
SEAN P COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
10464 S REDWOOD RD, SOUTH JORDAN, UT 84095-8501
(801) 260-1919
Mailing address
PO BOX 1000, DRAPER, UT 84020-1000
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
312145-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
312145-4405
UT
Other
Enumeration date
04/26/2006
Last updated
09/29/2021
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