| NPI | 1407162092 |
|---|---|
| Former Name | MELISSA JEAN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9114-33) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI APNWI9114-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 717304) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012202) | |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2021-06-02 |