Individual
JOHN ROBERT COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 379-3238
Mailing address
PO BOX 75220, CHARLOTTE, NC 28275-0220
(706) 860-2701
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01083
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052568
—
NC
Enumeration date
02/13/2006
Last updated
09/20/2023
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