| 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: AZ 321420) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP032628) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2025-04-04 |