Individual
ANDREA WHITE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 26TH ST S STE 100, BIRMINGHAM, AL 35205-2412
(205) 332-3155
Mailing address
122 MARY ANN LN, TRUSSVILLE, AL 35173-4201
(205) 467-7502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-054515
AL
363LF0000X
Family Nurse Practitioner
Primary
1-054515
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01985718
—
MS
01
—
051117857
BCBS
AL
01
—
051117858
BCBS
AL
01
—
051117859
BCBS
AL
05
—
129198
—
AL
05
—
129199
—
AL
05
—
129200
—
AL
Enumeration date
12/02/2008
Last updated
07/18/2019
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