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Kaitlyn Ann Collins, Nurse Practitioner

Nurse Practitioner, Family in Dearborn, MI. Individual provider (NPI-1).

NPI number1770104366
StatusActive
Last updated in NPPESNov 22, 2020

Details

NPI
1770104366
Entity type
Individual (NPI-1)
Name
Mrs. Kaitlyn Ann Collins
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2020
Certification date
Nov 22, 2020
Last updated
Nov 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704319102MIYes

Practice location

5250 Auto Club Dr Ste 200
Dearborn, MI 48126-2619

Phone 313-203-5300

Mailing address

1426 16th St
Wyandotte, MI 48192-3344

Phone 734-621-1074

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