Individual
ANDREA LONG COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-4677
Mailing address
110 IRVING ST NW STE 2A38M, WASHINGTON, DC 20010-3017
(202) 877-4677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24174589
VA
363LF0000X
Family Nurse Practitioner
340364
NY
Other
Enumeration date
02/05/2016
Last updated
04/15/2020
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