Healthcare Provider Details
I. General information
NPI: 1245483015
Provider Name (Legal Business Name): BARBARA HUNTER COLLINS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/24/2008
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
942A ROUTE 146
CLIFTON PARK NY
12065-3614
US
IV. Provider business mailing address
711 TROY SCHENECTADY RD SUITE 203
LATHAM NY
12110-2442
US
V. Phone/Fax
- Phone: 518-371-8000
- Fax: 518-371-5338
- Phone: 518-782-3700
- Fax: 518-782-3799
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0200X |
| Taxonomy | Pediatric Registered Nurse |
| License Number | 438370 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 338556 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: