Brandie Dawn Collins, PA
Physician Assistant in Meridian, ID. Individual provider (NPI-1).
NPI number1124077151
StatusActive
Last updated in NPPESJan 12, 2013
Details
- NPI
- 1124077151
- Entity type
- Individual (NPI-1)
- Name
- Brandie Dawn Collins
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2006
- Last updated
- Jan 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA188 | ID | Yes |
Other names
- Brandie D Demond (Former Name)
Practice location
520 S Eagle RdSte 3102
Meridian, ID 83642-6351
Phone 208-706-5100 · Fax 208-706-5169
Mailing address
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2222
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All 133 Physician Assistant providers in Meridian · All 4,112 providers in Meridian
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