Individual
LEIGH ANNE COLLINS-VAZQUEZ ATECAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 573-3083
(479) 314-6159
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(479) 573-3083
(479) 314-6159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
213554
AR
363L00000X
Nurse Practitioner
Primary
95015059
CA
363L00000X
Nurse Practitioner
AP60872229
WA
363LP2300X
Primary Care Nurse Practitioner
AP60872229
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437645892
—
WA
05
—
83-1064079
—
WA
Enumeration date
07/09/2018
Last updated
01/07/2026
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