Shirley M Collins in Fairbanks - Licensed Practical Nurse

Shirley M Collins - NPI 1205020112

Shirley M Collins is a Licensed Practical Nurse in Fairbanks, Alaska. Shirley M Collins practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Shirley M Collins is 1205020112. The last update date is 2012-02-10.

Shirley M Collins's current location address is 3830 S Cushman St, Fairbanks, Alaska. You can contact this provider via phone number 9074555304 and fax number 9074551460. The mailing address for Shirley M Collins is 3830 S Cushman St, Fairbanks, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley M Collins
Address 3830 S Cushman St, Fairbanks, Alaska
Phone Number 9074555304
Fax Number 9074551460
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1205020112
Provider Enumeration Date 2007-09-04
Last Updated Date 2012-02-10

Provider Mailing Address Detail

Address 3830 S Cushman St
City Fairbanks
State Alaska (AK)
Post Code 997017530
Phone Number 9074555304
Fax Number 9074551460

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 5048
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MH0157 AK --

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FAQs about Shirley M Collins

What is the unique 10-digit identifier code assigned to Shirley M Collins by the Centers for Medicare & Medicaid Services?

The Shirley M Collins has been issued the NPI (National Provider Identifier) 1205020112 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Shirley M Collins's facilities are situated?

The facilities of Shirley M Collins are physically located at the following address: 3830 S Cushman St, Fairbanks, AK, 997017530.

What is Shirley M Collins's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shirley M Collins is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205020112 to Shirley M Collins?

The Shirley M Collins received its 1205020112 assignment from the Centers for Medicare & Medicaid Services on 2007-09-04.

As of what date was the information pertaining to Shirley M Collins, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Shirley M Collins, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-10.

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