Individual
RANDI L COLLINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-3005
Mailing address
3400 SPRUCE ST, GROUND FLOOR FOUNDERS, PHILADELPHIA, PA 19104-4238
(215) 662-3005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009033
PA
Other
Enumeration date
06/26/2006
Last updated
02/28/2014
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