Healthcare Provider Details
I. General information
NPI: 1336215052
Provider Name (Legal Business Name): CATHERINE G. COLLINS WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/27/2006
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4500 E. 9TH AVE #420
DENVER CO
80220-3900
US
IV. Provider business mailing address
4500 E. 9TH AVE #420
DENVER CO
80220-3900
US
V. Phone/Fax
- Phone: 303-329-5822
- Fax: 303-329-7934
- Phone: 303-329-5822
- Fax: 303-329-7934
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 121843 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 4513 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: