Individual
MS. NICOLE LEE COLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP, CNS
Contact information
Practice address
1779 W YOSEMITE AVE, YOSEMITE BUILDING, SUITE 200, MANTECA, CA 95337-5112
(209) 825-2485
(209) 825-2499
Mailing address
505 PARNASSUS AVE, STE. M195, SAN FRANCISCO, CA 94122
(415) 353-2873
(415) 353-2528
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP15718
CA
364SX0106X
Occupational Health Clinical Nurse Specialist
CNS 2249
CA
Other
Enumeration date
08/22/2005
Last updated
02/09/2022
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