Healthcare Provider Details

I. General information

NPI: 1447154893
Provider Name (Legal Business Name): MEGAN LOUISE COLLINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 JERRY MURPHY RD
PUEBLO CO
81001-1045
US

IV. Provider business mailing address

819 S LONE COWBOY DR
PUEBLO WEST CO
81007-7090
US

V. Phone/Fax

Practice location:
  • Phone: 719-546-3600
  • Fax:
Mailing address:
  • Phone: 719-307-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1002526
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: