Individual
MRS. KAREN A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1001 MAIN ST STE 300, PEORIA, IL 61606-2036
(309) 495-0200
(309) 676-6545
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-006800
IL
363LW0102X
Women's Health Nurse Practitioner
209-006800
IL
367A00000X
Advanced Practice Midwife
209006721
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078190 1
—
IL
01
—
279500
MEDICARE GROUP
IL
01
—
P00434931
RAILROAD MEDICARE
IL
Enumeration date
08/30/2007
Last updated
10/28/2021
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