| NPI | 1639310980 |
|---|---|
| Former Name | KRISTEN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 248847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN201317) |
| 376K00000X Nurse's Aide (Licence: OR 200711791CNA) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2022-02-14 |