National Provider Identifier

Kathleen M Collins, GNP

Kathleen M Collins, GNP is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Newark, NY and a listed phone number of (315) 359-2640.

NPI 1295068427Newark, NYGerontology Nurse Practitioner

Profile Overview

NPI
1295068427
Provider Type
Individual
Primary Specialty
Gerontology Nurse Practitioner
Enumeration Date
September 04, 2009
Last Updated
December 23, 2009

Practice Location

  • 1208 Driving Park Ave
  • Newark, NY 14513-1057

Phone: (315) 359-2640

Specialties

  • Gerontology Nurse Practitioner (363LG0600X)
Full Record
NPI
1295068427
Entity Type
Individual
Last Name
Collins
First Name
Kathleen
Middle Name
M
Name Prefix
MS.
Credential
GNP
Mailing Street Address
1208 Driving Park Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1057
Mailing Country
US
Mailing Phone
(315) 359-2640
Practice Street Address
1208 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1057
Practice Country
US
Practice Phone
(315) 359-2640
Enumeration Date
September 04, 2009
Last Updated
December 23, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Gerontology Nurse Practitioner (363LG0600X)