Individual
MARY ELIZABETH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 N MEDICAL DR, PAIN AND SEDATION SERVICES, SALT LAKE CITY, UT 84113-1103
(801) 662-3594
Mailing address
100 N MEDICAL DR, PAIN AND SEDATION SERVICES, SALT LAKE CITY, UT 84113-1103
(801) 662-3594
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
373055-4405
UT
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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