Provider Demographics
NPI:1235235813
Name:COLLINS, MICHELLE LYNETTE (DNP)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYNETTE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32961 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1729
Mailing Address - Country:US
Mailing Address - Phone:248-855-1540
Mailing Address - Fax:833-329-6632
Practice Address - Street 1:32961 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1729
Practice Address - Country:US
Practice Address - Phone:248-855-1540
Practice Address - Fax:833-329-6632
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704196185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily