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NPI Code Detail

MEDICARE: CARLA COLLIER AGPCNP

MEDICARE: CARLA COLLIER AGPCNP
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
1363LA2200XAdult Health Nurse PractitionerAP127718TX
2363LG0600XGerontology Nurse PractitionerAP127718TX

General Provider Information

NPI Number : 1396138210
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA COLLIER AGPCNP
Provider Business Mailing Address
First Line : 3706 TEMPLE DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-2912
Country : US
Telephone Number : 512-947-2063
Fax Number :
Provider Business Practice Location Address
First Line : 2813 SMITH RANCH RD
Second Line :
City : PEARLAND
State : TX
Zip : 77584-5254
Country : US
Telephone Number : 713-436-8166
Fax Number : 713-436-8168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2015
Last Update Date : 03/21/2015

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