Healthcare Provider Details

I. General information

NPI: 1598686529
Provider Name (Legal Business Name): SARAH KATHLEEN COLLINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CANANDAIGUA ST
SHORTSVILLE NY
14548-9763
US

IV. Provider business mailing address

15 CANANDAIGUA ST
SHORTSVILLE NY
14548-9763
US

V. Phone/Fax

Practice location:
  • Phone: 585-289-3560
  • Fax:
Mailing address:
  • Phone: 585-289-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF360204-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: