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SHIRLEY M COLLINS LPN

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1205020112

Individual Registrant:
 SHIRLEY M COLLINS LPN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3830 S CUSHMAN ST  FAIRBANKS, AK 99701-7530 US
Tel: 907-455-5304  Fax: 907-455-1460

Contact information for business:
3830 S CUSHMAN ST  FAIRBANKS, AK 99701-7530 US
Tel: 907-455-5304  Fax: 907-455-1460

Registration Information:
NPI: 1205020112
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
AK5048

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MH0157AK05




HEALTH CARE JOBS AK - Page 1



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