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NPI Code Detail

MEDICARE: DR. RAQUELLE MARIE COLLINS MD

MEDICARE: DR. RAQUELLE MARIE COLLINS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114777034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAQUELLE MARIE COLLINS MD
Provider Business Mailing Address
First Line : 319 WILLOW WOOD DR
Second Line :
City : NEW IBERIA
State : LA
Zip : 70563-0977
Country : US
Telephone Number : 337-339-3359
Fax Number :
Provider Business Practice Location Address
First Line : 1115 E 20TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1013
Country : US
Telephone Number : 605-575-1644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 06/02/2026

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Directions to “ DR. RAQUELLE MARIE COLLINS MD” Practice Location

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