Individual
MR. MARK COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8200 HIGHWAY 23, BELLE CHASSE, LA 70037-2607
(504) 398-1100
(504) 398-1030
Mailing address
1205 SAINT CHARLES AVE, SUITE 1304, NEW ORLEANS, LA 70130-4356
(985) 778-8293
(504) 398-1030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89346-3582
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1575607
—
LA
Enumeration date
07/05/2005
Last updated
10/21/2007
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