Provider Demographics
NPI:1477577443
Name:COLLINS, CHERYL ELAINE (NP)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ELAINE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:145 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2755
Mailing Address - Country:US
Mailing Address - Phone:508-771-3190
Mailing Address - Fax:508-771-0940
Practice Address - Street 1:145 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2755
Practice Address - Country:US
Practice Address - Phone:508-771-3190
Practice Address - Fax:508-771-0940
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA236135363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health