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AMANDA GAYLE COLLIER RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1245259100
Individual Registrant: AMANDA GAYLE COLLIER RN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1658 HWY 371 WEST PRESCOTT, AR 71857 US
Tel: 870-887-3660 Fax: 870-887-3705
Tel: 870-887-3660 Fax: 870-887-3705
Contact information for business:
2904 ARKANSAS BLVD TEXARKANA, AR 71854-2536 US
Tel: 870-773-4655 Fax: 870-774-2650
Tel: 870-773-4655 Fax: 870-774-2650
Registration Information:
NPI: 1245259100
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | AR | R70128 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
