Individual
MRS. KRISTA RENE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
23715 NE HIGHWAY 314, SALT SPRINGS, FL 32134-6239
(352) 414-1644
Mailing address
23715 NE HIGHWAY 314, SALT SPRINGS, FL 32134-6239
(352) 414-1644
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
152165
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP 9395276
FL
363LW0102X
Women's Health Nurse Practitioner
152165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015690800
—
FL
01
—
IG771Z
MEDICARE
FL
01
—
M9KMX
BCBS
FL
Enumeration date
08/09/2007
Last updated
07/16/2021
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