MEDICARE: MS. FRANCES LUCILLE COLLINS AR.N.P.

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	363LF0000X	Family Nurse Practitioner	AP30004500	WA

General Provider Information

NPI Number	:	1740432335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES LUCILLE COLLINS AR.N.P.

Provider Business Mailing Address
First Line	:	3424 S. GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2621
Country	:	US
Telephone Number	:	509-838-5800
Fax Number	:	509-838-4042

Provider Business Practice Location Address
First Line	:	3424 S. GRAND BLVD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2621
Country	:	US
Telephone Number	:	509-838-5800
Fax Number	:	509-838-4042

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

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	10/15/2008

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