Individual
TRACY E COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1514 JEFFERSON HWY, UROLOGY DEPARTMENT, NEW ORLEANS, LA 70121-2429
(504) 842-4083
(504) 842-6271
Mailing address
1514 JEFFERSON HWY, UROLOGY DEPARTMENT, NEW ORLEANS, LA 70121-2429
(504) 842-4083
(504) 842-6271
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80960-3486
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09253751
—
MS
05
—
1565288
—
LA
Enumeration date
11/12/2010
Last updated
11/07/2013
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