Individual
MARTHA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13085 TEGLER DR, NOBLESVILLE, IN 46060-5417
(866) 389-2727
Mailing address
15222 CLEAR ST, NOBLESVILLE, IN 46060
(317) 654-3149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201294500
—
IN
01
—
P01512465
RR MEDICARE
IN
Enumeration date
06/15/2015
Last updated
07/20/2017
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