Carissa M Collum in Monroe - Licensed Practical Nurse
Carissa M Collum - NPI 1285773564
Carissa M Collum is a Licensed Practical Nurse in Monroe, Louisiana. Carissa M Collum practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Carissa M Collum is 1285773564. The last update date is 2007-07-08.
Carissa M Collum's current location address is 4800 S Grand St, Monroe, Louisiana. You can contact this provider via phone number 3183623339 and fax number 3183624174. The mailing address for Carissa M Collum is 4800 S Grand St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carissa M Collum |
|---|---|
| Address | 4800 S Grand St, Monroe, Louisiana |
| Phone Number | 3183623339 |
| Fax Number | 3183624174 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1285773564 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4800 S Grand St |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712026412 |
| Phone Number | 3183623339 |
| Fax Number | 3183624174 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 990718 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carissa M Collum by the Centers for Medicare & Medicaid Services?
The Carissa M Collum has been assigned the NPI (National Provider Identifier) 1285773564 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Carissa M Collum?
The Carissa M Collum is physically situated at 4800 S Grand St, in the city of Monroe, state of LA, with the postal code 712026412.
What is Carissa M Collum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carissa M Collum's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
When did the Carissa M Collum receive its 1285773564?
The Carissa M Collum was issued its 1285773564 on 2007-02-05, which is the date when the organization was assigned this unique identifier.
When was the Carissa M Collum's information last updated?
The Carissa M Collum's information was last updated on 2007-07-08.