Individual
GRACE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3689
Mailing address
4 W 18TH ST APT 1, WEEHAWKEN, NJ 07086-6602
(908) 692-9515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01207300
NJ
Other
Enumeration date
09/27/2021
Last updated
04/24/2023
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