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Individual

DIANE A COLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
622 W 168TH ST PH 5-505, NEW YORK, NY 10032-3720
(212) 305-6494
Mailing address
2424 HURON CIR, KISSIMMEE, FL 34746-3437
(754) 207-6565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11009758
FL
363LF0000X
Family Nurse Practitioner
Primary
353246
NY

Other

Enumeration date
12/20/2020
Last updated
11/05/2024
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