Healthcare Provider Details

I. General information

NPI: 1942548334
Provider Name (Legal Business Name): LANDON T COLLINS APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2013
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4508 38TH ST STE 133
COLUMBUS NE
68601-1668
US

IV. Provider business mailing address

PO BOX 1800
COLUMBUS NE
68602-1800
US

V. Phone/Fax

Practice location:
  • Phone: 402-563-3644
  • Fax:
Mailing address:
  • Phone: 402-564-7118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN1579
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number111456
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: