Individual
MRS. MIRANDA LAURA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1238 PUTTY HILL AVE, TOWSON, MD 21286-5844
(410) 823-4423
(410) 823-5180
Mailing address
9717 SLALOM RUN DR, WOODSTOCK, MD 21163-1106
(410) 922-3952
(410) 655-7239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R107522
MD
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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