Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 11166 | MN |
N | 207VE0102X | Reproductive Endocrinologist | R1318238 | MN |
N | 363LW0102X | Nurse Practitioner - Women's Health | 11166 | MN |
Y | 363LW0102X | Nurse Practitioner - Women's Health | R1318238 | MN |
NPI | 1457307191 |
---|---|
Provider Name | Karen L Collins |
First Address | Maple Grove, MN 55369 |
Second Address | Maple Grove, MN 55369 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1021507 | PREFERRED ONE (01) | MN |
33348 | PREFERRED ONE (01) | MN |
875G2CO | BLUE CROSS (01) | MN |
HP29458 | HEALTH PARTNERS (01) | MN |