Doctor Name: | PROF. CYNTHIA REBECCA COLLINS |
NPI Number: | 1184875528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, NP, DNSC. |
License Number: | 003776 |
Business Practice Address: | 234 Glenbrook Rd Unit 2011 Storrs Mansfield, CT - 062699005 |
Business Phone Number: | 8604860960 |
Business Fax Number: | 8604860001 |
Mailing Address: | 234 Glenbrook Rd, Unit 2011 STORRS MANSFIELD |
State: | CT |
Postal Code: | 062699005 |
Phone Number: | 8604860960 |
Fax Number: | 8604860001 |
NPI Enumeration Date: | 10/03/2008 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 003776 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |