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Individual

MS. KAITLIN S COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NP

Contact information

Practice address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4618
(401) 415-4348

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00555
RI
363L00000X
Nurse Practitioner
RN-TEMP0511
MA
363LA2200X
Adult Health Nurse Practitioner
30 305129
NY

Other

Enumeration date
06/19/2009
Last updated
08/25/2020
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