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Individual

SUSAN GAY COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1503 5TH AVE NW, MINOT, ND 58703-1902
(701) 774-7401
(701) 774-7479
Mailing address
1503 5TH AVE NW, MINOT, ND 58703-1902
(701) 774-7401
(701) 774-7479

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R31176
ND
363LF0000X
Family Nurse Practitioner
Primary
R31176
ND

Other

Enumeration date
12/30/2011
Last updated
12/30/2011
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