Individual
PHYLLIS EILEEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Mailing address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
(671) 646-1292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200250177NP-FNP-PP
OR
363L00000X
Nurse Practitioner
Primary
NP0045
GU
Other
Enumeration date
06/18/2006
Last updated
06/01/2008
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