Individual
BRENDA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 STATE ST STE 201, SPRINGFIELD, MA 01103-2073
(413) 787-6457
Mailing address
95 STATE ST STE 201, SPRINGFIELD, MA 01103-2073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178811
MA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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