Individual
KATIE LYNN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3581
(920) 436-8691
(920) 436-8699
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4548-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942588900
—
WI
01
—
F0711070
AMERICAN ACADEMY NURSE PRACTITIONERS
—
Enumeration date
07/25/2011
Last updated
01/25/2024
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