Individual
AUDRA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W WEST MAPLE RD, WALLED LAKE, MI 48390-3402
(248) 624-4555
Mailing address
1135 W UNIVERSITY DR, SUITE 220, ROCHESTER HILLS, MI 48307-1871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704281339
MI
363LF0000X
Family Nurse Practitioner
F0215393
MI
Other
Enumeration date
04/02/2015
Last updated
01/24/2019
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