| Doctor Name: | MRS. LETHIA ANNETTE COLLINS |
| NPI Number: | 1053392712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, RNFA |
| License Number: | 7100612A |
| Business Practice Address: | 10017 County Line Rd Sellersburg, IN - 471729207 |
| Business Phone Number: | 8122468710 |
| Business Fax Number: | |
| Mailing Address: | 10017 County Line Rd, SELLERSBURG |
| State: | IN |
| Postal Code: | 471729207 |
| Phone Number: | 8122468710 |
| Fax Number: | 8129497179 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 07/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 7100612A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |