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NPI Code Detail

MEDICARE: JOHN ROBERT COLLINS CRNA

MEDICARE: JOHN ROBERT COLLINS CRNA
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
1367500000XCertified Registered Nurse AnesthetistCRNA-01083NM

Other Identifiers

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

General Provider Information

NPI Number : 1194798827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN ROBERT COLLINS CRNA
Provider Business Mailing Address
First Line : PO BOX 75220
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-0220
Country : US
Telephone Number : 706-860-2701
Fax Number :
Provider Business Practice Location Address
First Line : 3001 BROADMOOR BLVD NE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87144-2100
Country : US
Telephone Number : 505-379-3238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 09/20/2023

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