Individual
BRITTANY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2088
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2314
ID
363A00000X
Physician Assistant
PA1929
KY
363A00000X
Physician Assistant
TC336
KY
363AM0700X
Medical Physician Assistant
PA1929
KY
363AS0400X
Surgical Physician Assistant
PA1929
KY
Other
Enumeration date
11/17/2014
Last updated
09/23/2022
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