Provider Demographics
NPI:1467159400
Name:COLLINS, STELLA (DNP)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 MEADOWSWEET DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45315-7718
Mailing Address - Country:US
Mailing Address - Phone:937-239-7984
Mailing Address - Fax:
Practice Address - Street 1:1007 MEADOWSWEET DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45315-7718
Practice Address - Country:US
Practice Address - Phone:937-239-7984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0027635363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care