Individual
MRS. ANITA KAYE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-4260
(812) 524-4255
Mailing address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 524-4260
(812) 524-4255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200918210
—
IN
Enumeration date
09/05/2008
Last updated
04/13/2010
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