Individual
KRISTIN M COLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
405 COMMERCIAL ST, SEYMOUR, WI 54165-8474
(920) 833-2318
Mailing address
405 COMMERCIAL ST, SEYMOUR, WI 54165-8474
(920) 833-2318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154400
WI
363L00000X
Nurse Practitioner
4489-33
WI
363LF0000X
Family Nurse Practitioner
Primary
4489
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265711311
—
WI
Enumeration date
08/08/2011
Last updated
10/01/2025
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