MEDICARE: RASHAWN COLLIER

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	163W00000X	Registered Nurse	730918	NY
2	363L00000X	Nurse Practitioner	F351278-01	NY

General Provider Information

NPI Number	:	1861183097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHAWN COLLIER

Provider Business Mailing Address
First Line	:	1822 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4432
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1822 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4432
Country	:	US
Telephone Number	:	347-977-6545
Fax Number	:

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

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	01/23/2025

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Directions to “ RASHAWN COLLIER ” Practice Location

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