MEDICARE: SARAH ELIZABETH COLLINS NP

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	5022541	NC

General Provider Information

NPI Number	:	1891686408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH COLLINS NP

Provider Business Mailing Address
First Line	:	469 CC CAMP RD
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-8833
Country	:	US
Telephone Number	:	336-530-1031
Fax Number	:

Provider Business Practice Location Address
First Line	:	469 CC CAMP RD
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-8833
Country	:	US
Telephone Number	:	336-530-1031
Fax Number	:

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

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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