Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | ARNP3002642 | FL |
NPI | 1245490168 |
---|---|
Provider Name | Sherie Collins |
First Address | Tampa, FL 33606-0000 |
Second Address | St Petersburg, FL 33702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2008 |
Last Update Date | 02/12/2011 |