Healthcare Provider Details

I. General information

NPI: 1225995574
Provider Name (Legal Business Name): NATALIE ROSE COLLINS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 LORTON STATION BLVD STE 270
LORTON VA
22079-4798
US

IV. Provider business mailing address

1467 S HIGHVIEW LN APT 204
ALEXANDRIA VA
22311-2342
US

V. Phone/Fax

Practice location:
  • Phone: 540-701-2420
  • Fax:
Mailing address:
  • Phone: 609-731-7927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024195633
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: