Individual
MS. SHELLI C COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2093
(501) 202-6316
Mailing address
11001 EXECUTIVE CENTER DR, LITTLE ROCK, AR 72211-4316
(501) 202-2093
(501) 202-6316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2010004414
MO
367500000X
Certified Registered Nurse Anesthetist
AP123498
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
C003199
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200446120A
—
OK
05
—
328640304
—
TX
05
—
600420027
—
MO
01
—
8564UJ
BCBS
TX
01
—
P01445979
RAILROAD
TX
Enumeration date
12/10/2009
Last updated
09/08/2016
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