Provider Demographics
NPI:1477887610
Name:COLLINS, MARGUERITE CATHERINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:CATHERINE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10755 N WINDHAM BAY CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-0845
Mailing Address - Country:US
Mailing Address - Phone:504-451-9725
Mailing Address - Fax:
Practice Address - Street 1:5528 LAUREL ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-2046
Practice Address - Country:US
Practice Address - Phone:504-451-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA104058-5880363LF0000X
CA22634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily