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Individual

ERIN L COLLINSWORTH

Active
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Individual

ERIN L COLLINSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209017628
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041.367612
RN LICENSE
IL
Enumeration date
05/11/2018
Last updated
04/26/2024
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