Individual
LISA CAROL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2801 S STAUNTON RD, HUNTINGTON, WV 25702-1222
(304) 526-1880
Mailing address
244 TOWNSHIP ROAD 1287, CHESAPEAKE, OH 45619-8128
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58606
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016543
—
WV
Enumeration date
08/24/2009
Last updated
03/31/2023
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