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Individual

MR. COLLIN D. PRINCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PNP, PMHNP

Contact information

Practice address
4116 LARAMIE ST, CHEYENNE, WY 82001-1969
(307) 635-7961
(307) 778-5814
Mailing address
2301 HOUSE AVE, SUITE 405, CHEYENNE, WY 82001-3176
(307) 635-7961
(307) 778-5814

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
33183.1300
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1300
WY

Other

Enumeration date
12/29/2008
Last updated
03/10/2023
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