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MS. SHELLI C COLLINS CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1275862898

Individual Registrant:
MS. SHELLI C COLLINS CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9601 BAPTIST HEALTH DR  LITTLE ROCK, AR 72205-6321 US
Tel: 501-202-2093  Fax: 501-202-6316

Contact information for business:
11001 EXECUTIVE CENTER DR  LITTLE ROCK, AR 72211-4316 US
Tel: 501-202-2093  Fax: 501-202-6316

Registration Information:
NPI: 1275862898
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
MO2010004414
N367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
TXAP123498
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
ARC003199

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
328640304TX05
200446120AOK05
600420027MO05
BCBS8564UJTX01
RAILROADP01445979TX01




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