Provider Demographics
NPI:1497779243
Name:COLLINS, EMILY CURRY (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CURRY
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:CURRY
Other - Last Name:CLIFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:2202 N WEST SHORE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5749
Mailing Address - Country:US
Mailing Address - Phone:480-862-1553
Mailing Address - Fax:480-718-7643
Practice Address - Street 1:1949 NORTHGATE BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-2143
Practice Address - Country:US
Practice Address - Phone:941-373-7844
Practice Address - Fax:941-373-7856
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9299772363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003713900Medicaid
FLDE783YMedicare PIN