Healthcare Provider Details

I. General information

NPI: 1477725232
Provider Name (Legal Business Name): CHRISTOPHER PETER COLLINS CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N 3RD ST FL 2
HARRISBURG PA
17110-1904
US

IV. Provider business mailing address

2501 N 3RD ST FL 2
HARRISBURG PA
17110-1904
US

V. Phone/Fax

Practice location:
  • Phone: 717-782-2100
  • Fax: 717-782-2121
Mailing address:
  • Phone: 717-782-2100
  • Fax: 717-782-2121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009429
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: