Individual
SARA LYNN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 684-5360
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130
(215) 235-9600
(215) 232-4093
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP015367
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035013600003
—
PA
Enumeration date
04/04/2016
Last updated
08/25/2021
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