Individual
MRS. MONTIKA ADHANA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CLC, IBCLC
Contact information
Practice address
2801 E KENOSHA ST, #140241, BROKEN ARROW, OK 74014-6717
(918) 398-3586
Mailing address
PO BOX 140241, BROKEN ARROW, OK 74014-0003
(918) 398-3586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106766
OK
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
106766
OK
163WM0102X
Maternal Newborn Registered Nurse
106766
OK
163WN0002X
Neonatal Intensive Care Registered Nurse
106766
OK
163WN0003X
Low-Risk Neonatal Registered Nurse
106766
OK
Other
Enumeration date
02/08/2016
Last updated
06/19/2016
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