Mary Jo Collie is a Family in Bastian, Virginia. Mary Jo Collie practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Jo Collie is 1558451187. The last update date is 2014-02-20.
Mary Jo Collie's current location address is 12301 Grapefield Rd, Bastian, Virginia. You can contact this provider via phone number 2766884331 and fax number 2766884336. The mailing address for Mary Jo Collie is 12301 Grapefield Rd, Bastian, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Jo Collie |
|---|---|
| Address | 12301 Grapefield Rd, Bastian, Virginia |
| Phone Number | 2766884331 |
| Fax Number | 2766884336 |
| Sole Proprietor | N |
| Credentials | FNP C |
NPI Number Detail
| NPI Number | 1558451187 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2014-02-20 |
Provider Mailing Address Detail
| Address | 12301 Grapefield Rd |
|---|---|
| City | Bastian |
| State | Virginia (VA) |
| Post Code | 243144547 |
| Phone Number | 2766884331 |
| Fax Number | 2766884336 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 24165860 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7101185000 | WV | -- | |
| 10053552 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Jo Collie by the Centers for Medicare & Medicaid Services?
The Mary Jo Collie has been assigned the NPI (National Provider Identifier) 1558451187 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Mary Jo Collie located?
The Mary Jo Collie is located at 12301 Grapefield Rd, Bastian, VA 243144547.
What is Mary Jo Collie's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Jo Collie is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did Mary Jo Collie receive its 1558451187 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jo Collie was assigned its 1558451187 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mary Jo Collie last refreshed?
The information related to the Mary Jo Collie, including its address, specialty, and other relevant details, was last updated on 2014-02-20.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA