Individual
TIFFANY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6 BLACKSTONE VALLEY PL, SUITE 701, LINCOLN, RI 02865-1179
(401) 333-3111
(401) 334-1217
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00582
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29051
BCBS OF RI
RI
01
—
41206
BLUE CHIP
RI
05
—
7057441
—
RI
01
—
709004044
MEDICARE GROUP
RI
Enumeration date
09/21/2005
Last updated
12/06/2023
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