| Doctor Name: | MR. MARK COLLIER |
| NPI Number: | 1861499972 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | |
| Business Practice Address: | 8200 Highway 23 Belle Chasse, LA - 700372607 |
| Business Phone Number: | 5043981100 |
| Business Fax Number: | 5043981030 |
| Mailing Address: | 1205 Saint Charles Ave, Suite 1304 NEW ORLEANS |
| State: | LA |
| Postal Code: | 701304356 |
| Phone Number: | 9857788293 |
| Fax Number: | 5043981030 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 10/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |