Provider Demographics
NPI:1225799323
Name:COLLINS, SHONNAY LETRICE
Entity Type:Individual
Prefix:MS
First Name:SHONNAY
Middle Name:LETRICE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5815 LANDERBROOK DR UNIT 24475
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-7924
Mailing Address - Country:US
Mailing Address - Phone:216-258-1914
Mailing Address - Fax:
Practice Address - Street 1:1512 FRUITLAND AVE
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-3402
Practice Address - Country:US
Practice Address - Phone:216-258-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula