Individual
COLLEEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18849 KINGS HWY, MONTROSS, VA 22520-2965
(804) 493-9999
(804) 493-7140
Mailing address
PO BOX 220, 25892 N JAMES MADISON HWY, NEW CANTON, VA 23123-0220
(434) 581-3271
(434) 581-1704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024146809
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427036623
—
VA
Enumeration date
01/06/2006
Last updated
08/21/2013
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