Individual
SHAWNA ROSE COLLINS
Active
Individual
SHAWNA ROSE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
95008365
CA
2080P0202X
Pediatric Cardiology Physician
RN2288919
MA
363LP0222X
Critical Care Pediatric Nurse Practitioner
95008365
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
RN2288919
MA
Other
Enumeration date
11/15/2017
Last updated
07/20/2022
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