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General NPI Number Information
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NPI Number | 1164480281
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Entity Type | Individual
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Provider Name | SHEILA MARIE MCCOLLAM FNP - BC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 401 MASON CT SUITE 101
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City | FORT COLLINS
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State | CO
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Zip | 80524
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Country | US
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Telephone | 970-829-0077
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Fax | 844-726-8896
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Provider Business Mailing Address
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Address Line | 1626 BEAMREACH PL
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City | FORT COLLINS
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State | CO
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Zip | 80524-6743
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Country | US
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Telephone | 970-682-0465
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Fax | 844-726-8896
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0991742
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 937
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0991742-NP
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License Number State | CO
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