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Individual

CAROLYN M. COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1400 E KINCAID ST, SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 98274-4127
(360) 428-2592
(360) 428-6470
Mailing address
1400 E KINCAID ST, C/O CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 814-6724
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005948
WA
363L00000X
Nurse Practitioner
RN00141897
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9633553
WA
Enumeration date
08/03/2006
Last updated
08/26/2014
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