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NPI Code Detail

MEDICARE: MS. DONNA LEE COLLIER CRNA

MEDICARE: MS. DONNA LEE COLLIER CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN216887LPA
2367500000XCertified Registered Nurse AnesthetistCRNA000319NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942290697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA LEE COLLIER CRNA
Provider Business Mailing Address
First Line : PO BOX 15645
Second Line :
City : LAS VEGAS
State : NV
Zip : 89114-5645
Country : US
Telephone Number : 702-240-8847
Fax Number :
Provider Business Practice Location Address
First Line : 2450 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2179
Country : US
Telephone Number : 702-877-8660
Fax Number : 702-258-1322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 02/05/2008

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Directions to “ MS. DONNA LEE COLLIER CRNA” Practice Location

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