Individual
ERICA N COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158640
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
4497
NC
367500000X
Certified Registered Nurse Anesthetist
55246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065584
AMERIGROUP
GA
01
—
1780609198
TRICARE
NC
05
—
689732034A
—
GA
05
—
8051690
—
NC
05
—
GAN611
—
SC
01
—
P00352737
RAILROAD MEDICARE
GA
01
—
P01042933
RAILROAD MEDICARE
NC
Enumeration date
07/13/2006
Last updated
05/20/2021
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