Healthcare Provider Details

I. General information

NPI: 1790711877
Provider Name (Legal Business Name): MARGARET M COLL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4923 OGLETOWN STANTON RD
NEWARK DE
19713-2081
US

IV. Provider business mailing address

49 TENBY CHASE DR
NEWARK DE
19711-2440
US

V. Phone/Fax

Practice location:
  • Phone: 302-993-0310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0028629
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN541193
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberL6-0A00453
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: