Individual
MARY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
RN509314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN509314L
MEDICAL LICENSE
PA
Enumeration date
04/22/2008
Last updated
04/22/2008
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