Provider Demographics
NPI:1245574490
Name:COLLINS, AQIYLAH (IHC, RM, DOULA)
Entity Type:Individual
Prefix:
First Name:AQIYLAH
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:IHC, RM, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1891 BILLINGSGATE CIR
Mailing Address - Street 2:SUITE C
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4242
Mailing Address - Country:US
Mailing Address - Phone:804-977-1779
Mailing Address - Fax:
Practice Address - Street 1:1891 BILLINGSGATE CIR
Practice Address - Street 2:SUITE C
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4220
Practice Address - Country:US
Practice Address - Phone:804-977-1779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-11
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No374J00000XNursing Service Related ProvidersDoula