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Individual

LAURIE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
800 S MAIN ST STE C, NICHOLASVILLE, KY 40356-1868
(859) 241-5136
Mailing address
466 LINDEN AVE STE A, HARRODSBURG, KY 40330-1841
(859) 734-5173

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012303
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3012303
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100563650
KY
Enumeration date
05/31/2018
Last updated
08/05/2022
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