Individual
HEATHER COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 CALDWELL BLVD, NAMPA, ID 83651-1701
(208) 465-4935
Mailing address
1127 CALDWELL BLVD, NAMPA, ID 83651-1701
(208) 465-4935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
43538
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43538
BOARD OF NURSING
ID
Enumeration date
09/01/2021
Last updated
09/01/2021
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