Provider Demographics
NPI:1437390887
Name:COLLINSON, LISA A (APN)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:A
Last Name:COLLINSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:ANN
Other - Last Name:DELUCA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NNP-BC
Mailing Address - Street 1:1028 N NEW ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3899
Mailing Address - Country:US
Mailing Address - Phone:484-888-1812
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-5151
Practice Address - Fax:302-651-5148
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007942363LN0000X
PARN521596L363LN0000X
DELM-0000131363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal