Individual
MARY E. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(602) 923-4648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP7780
AZ
363LA2100X
Acute Care Nurse Practitioner
RN0066816
AZ
363LF0000X
Family Nurse Practitioner
RN066816
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN066816
NURSING LICENSE NUMBER
AZ
Enumeration date
09/07/2007
Last updated
07/28/2021
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