Individual
HEATHER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015561A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104370286
ANTHEM PTAN
IN
05
—
300095545
—
IN
Enumeration date
08/01/2024
Last updated
01/16/2026
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