Individual
BRENDA R. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
(605) 742-0182
Mailing address
510 4TH ST S, FARGO, ND 58103-1914
(701) 476-7823
(701) 476-7261
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CP001226
SD
363LA2200X
Adult Health Nurse Practitioner
R32069
ND
Other
Enumeration date
06/08/2016
Last updated
01/02/2018
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