Individual
COLLIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
42440 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2403
(985) 542-4950
(985) 318-6400
Mailing address
42440 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2403
(985) 542-4950
(985) 318-6400
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08199
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383001
—
LA
Enumeration date
02/06/2015
Last updated
03/16/2015
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