MEDICARE: MRS. SANDRA DIANE COLLIER CNP

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	COA 08592	OH

General Provider Information

NPI Number	:	1760583686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA DIANE COLLIER CNP

Provider Business Mailing Address
First Line	:	2185 BEECHMOOR DR NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-5853
Country	:	US
Telephone Number	:	330-966-7506
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 15TH ST NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44703-1704
Country	:	US
Telephone Number	:	330-455-0800
Fax Number	:

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1770589863 — DR. JAMES DEAN JOHNS MD
Practice Location Address:

211 15TH ST NW
CANTON, OH
44703-1704

Practice Phone: 330-455-0800
Practice Fax: 330-455-1453

1689628349 — NEUROLOGY AND NEUROSCIENCE ASSOCIATES INC
Practice Location Address:

2111 15TH ST NW
CANTON, OH
44703-1704

Practice Phone: 330-837-7552
Practice Fax: 330-834-1128

1295955789 — LITTLE FLOWER FAMILY PRACTICE
Practice Location Address:

211 15TH ST NW
CANTON, OH
44703-1704

Practice Phone: 330-455-0800
Practice Fax: 330-455-1453

1144533407 — PHYSICIAN MANAGEMENT SERVICES OF OHIO LLC
Practice Location Address:

211 15TH ST NW
CANTON, OH
44703-1704

Practice Phone: 888-829-8550
Practice Fax:

1427560440 — KELLY NICOLE KENIRAY CNP
Practice Location Address:

211 15TH ST NW
CANTON, OH
44703-1704

Practice Phone: 330-450-0800
Practice Fax:

Directions to “ MRS. SANDRA DIANE COLLIER CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.