Provider Demographics
NPI:1407100571
Name:COLLINS, ASHLEY E (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:E
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:E
Other - Last Name:BLAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:282 ROUTE 101
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:603-249-1107
Practice Address - Street 1:282 ROUTE 101
Practice Address - Street 2:SUITES 9 & 10
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1706
Practice Address - Country:US
Practice Address - Phone:603-249-8883
Practice Address - Fax:603-249-1107
Is Sole Proprietor?:No
Enumeration Date:2012-10-29
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993094-NP363LF0000X
NH064194-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA022752OtherPRESCRIPTIVE AUTHORITY
PARN668394OtherRN LICENSE