Healthcare Provider Details

I. General information

NPI: 1861080194
Provider Name (Legal Business Name): MONICA MARIE-NICOLE MCCOLLIN CNS, LDN, RYT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE B
DOVER DE
19901-3618
US

IV. Provider business mailing address

8 THE GRN STE B
DOVER DE
19901-3618
US

V. Phone/Fax

Practice location:
  • Phone: 202-441-8239
  • Fax:
Mailing address:
  • Phone: 202-441-8239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberDN005200
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: