| Doctor Name: | HEIDI COLLIER |
| NPI Number: | 1003962010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 571422 |
| Business Practice Address: | 16133 Ventura Blvd #360 Encino, CA - 914362403 |
| Business Phone Number: | 8189866009 |
| Business Fax Number: | 8183965594 |
| Mailing Address: | 2004 Meadow Ln, TAYLOR |
| State: | TX |
| Postal Code: | 765741341 |
| Phone Number: | 8182190766 |
| Fax Number: | 8183965594 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 571422 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |