MEDICARE: MRS. NICOLE C. COLLATOS RN,FNP-C

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	69514	TX

General Provider Information

NPI Number	:	1902953292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NICOLE C. COLLATOS RN,FNP-C

Provider Business Mailing Address
First Line	:	720 E MAIN ST
Second Line	:
City	:	MEXIA
State	:	TX
Zip	:	76667-3348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 N ROBINSON DR
Second Line	:
City	:	ROBINSON
State	:	TX
Zip	:	76706-5330
Country	:	US
Telephone Number	:	254-732-0052
Fax Number	:	254-732-0150

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	10/29/2025

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