| Doctor Name: | CAROL L COLLINS |
| NPI Number: | 1104859875 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P. |
| License Number: | AP30005619 |
| Business Practice Address: | 433 E 8th St Port Angeles, WA - 983626219 |
| Business Phone Number: | 3604523373 |
| Business Fax Number: | 3604572163 |
| Mailing Address: | Po Box 850, PORT ANGELES |
| State: | WA |
| Postal Code: | 983620146 |
| Phone Number: | 3605659240 |
| Fax Number: | 3605659241 |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30005619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |