Healthcare Provider Details

I. General information

NPI: 1033271077
Provider Name (Legal Business Name): KATHRYN MARY COLLINS MS, RN, CNP, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN MARY BURNES CNP, CNS

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 55TH ST. NW VA CLINIC
ROCHESTER MN
55901
US

IV. Provider business mailing address

3900 55TH ST. NW
ROCHESTER MN
55901
US

V. Phone/Fax

Practice location:
  • Phone: 507-252-0885
  • Fax: 507-529-8452
Mailing address:
  • Phone: 507-252-0885
  • Fax: 507-529-8452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberR111724
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: