| Doctor Name: | MARDA COLLINGS |
| NPI Number: | 1306094321 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 2008021145 |
| Business Practice Address: | 1215 W Foxwood Dr Raymore, MO - 640838301 |
| Business Phone Number: | 8163188022 |
| Business Fax Number: | 8163313253 |
| Mailing Address: | 12810 Cambridge Ave, GRANDVIEW |
| State: | MO |
| Postal Code: | 640302046 |
| Phone Number: | 8167651541 |
| Fax Number: | 8167651541 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 12/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2008021145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |