Individual
LAURA COLLINS
Active
Individual
LAURA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209005550
IL
363LA2200X
Adult Health Nurse Practitioner
101.0134697
VT
363LA2200X
Adult Health Nurse Practitioner
113423
NE
363LA2200X
Adult Health Nurse Practitioner
173379
MT
363LA2200X
Adult Health Nurse Practitioner
Primary
277.000163
IL
363LA2200X
Adult Health Nurse Practitioner
62265
NM
363LA2200X
Adult Health Nurse Practitioner
H162838
IA
363LA2200X
Adult Health Nurse Practitioner
R49968
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
IL
01
—
P00250847
RR MEDICARE
IL
Enumeration date
07/12/2006
Last updated
01/25/2023
Update your record
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