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Individual

SHELLY COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1145 S MORLEY ST, MOBERLY, MO 65270-1901
(660) 263-3185
Mailing address
4882 HIGHWAY JJ, MOBERLY, MO 65270-4269

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014027282
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2014027282
CPN LICENSE
MO
Enumeration date
08/05/2014
Last updated
04/25/2023
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