Individual
SUSAN C COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-4344
(860) 928-4188
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-4344
(860) 928-4188
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001568
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004220703
—
CT
Enumeration date
02/21/2006
Last updated
07/09/2007
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