| NPI | 1366604779 | 
|---|---|
| Former Name | CARRIE COLLINS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 10066)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209030963)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024089)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10049234)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104374-C-NP)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195125)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP032628)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002545)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1213502)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 321420)  | |
| Enumeration Date | 2008-06-26 | 
| Last Update Date | 2025-10-30 |