Individual
EMILY MARY HUNT COLLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC/PC
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-5595
Mailing address
227 E LEADORA AVE, GLENDORA, CA 91741-2102
(563) 580-6459
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
95007972
CA
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95007972
CA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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