Individual
ADAM COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 524-8130
(574) 524-8138
Mailing address
851 W 2800 N, PLEASANT GROVE, UT 84062-8027
(801) 641-2936
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28254463A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034071
—
IN
Enumeration date
12/12/2019
Last updated
04/28/2023
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