Individual
MARY KATHERINE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3755 7TH TER STE 101, VERO BEACH, FL 32960-6531
(772) 569-5056
Mailing address
803 VERONICA CT, INDIAN HARBOUR BEACH, FL 32937-4038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11042294
FL
363LC0200X
Critical Care Medicine Nurse Practitioner
11042294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
HFMG
FL
01
—
WE710
HFMG
FL
Enumeration date
09/25/2025
Last updated
11/06/2025
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