Provider Demographics
NPI:1316370299
Name:STERLING-COLLINS, FAWN M
Entity Type:Individual
Prefix:
First Name:FAWN
Middle Name:M
Last Name:STERLING-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 1:3674 GALIANO DR
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-9016
Mailing Address - Country:US
Mailing Address - Phone:360-920-7525
Mailing Address - Fax:
Practice Address - Street 1:3674 GALIANO DR
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-9016
Practice Address - Country:US
Practice Address - Phone:360-920-7525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula