Individual
MS. SUSAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46440 BENEDICT DR STE 111, STERLING, VA 20164-6602
(844) 893-0012
Mailing address
12875 MOSAIC PARK WAY UNIT B, HERNDON, VA 20171-5426
(844) 893-0012
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024185264
VA
363LA2100X
Acute Care Nurse Practitioner
AC004950
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC004950
MBON
MD
Enumeration date
08/22/2011
Last updated
05/22/2025
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