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NPI Code Detail

MEDICARE: MICHELLE MARIE COLLARD R.N.

MEDICARE:   MICHELLE MARIE COLLARD  R.N.
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
1163W00000XRegistered NurseRN00114893WA

General Provider Information

NPI Number : 1841464211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIE COLLARD R.N.
Provider Business Mailing Address
First Line : 7338 ALLENS PARK DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-1277
Country : US
Telephone Number : 719-213-5115
Fax Number :
Provider Business Practice Location Address
First Line : 7338 ALLENS PARK DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80922-1277
Country : US
Telephone Number : 719-213-5115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2008
Last Update Date : 04/16/2008

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Directions to “ MICHELLE MARIE COLLARD R.N.” Practice Location

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