MEDICARE: MS. LIZA COLLINS EMCH AGACNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	21234	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023560406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LIZA COLLINS EMCH AGACNP

Provider Business Mailing Address
First Line	:	2040 RESERVE BLVD STE B
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0735
Country	:	US
Telephone Number	:	615-455-3000
Fax Number	:	833-907-2263

Provider Business Practice Location Address
First Line	:	2040 RESERVE BLVD STE B
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-0735
Country	:	US
Telephone Number	:	615-455-3000
Fax Number	:	833-907-2263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2016
Last Update Date	:	03/03/2026

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