Individual
ROBILYN ANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15855 NINETEEN MILE ROAD, EMERGENCY MEDICINE DEPARTMENT, CLINTON TWP, MI 48038-3504
(586) 263-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR ROAD, CREDENTIALING/PAYER CONTRACTING SERVICES, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704195404
MI
363L00000X
Nurse Practitioner
SP011452
PA
363LF0000X
Family Nurse Practitioner
0024169818
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12065284
CAQH
—
05
—
1720066319
—
MI
Enumeration date
01/04/2006
Last updated
10/09/2014
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