Individual
SUSAN LYNN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
500 E. MINGUS AVE., COTTONWOOD, AZ 86326
(928) 639-5115
Mailing address
1 N WILLARD ST, COTTONWOOD, AZ 86326-3651
(928) 639-5115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN115403
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715667
—
AZ
Enumeration date
10/25/2006
Last updated
07/08/2007
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