Provider Demographics
NPI:1518449313
Name:COLLINS, MARJORIE (ARNP, FNP , PMHNP)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:ARNP, FNP , PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8927 HYPOLUXO RD STE A4
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5249
Mailing Address - Country:US
Mailing Address - Phone:561-706-4392
Mailing Address - Fax:
Practice Address - Street 1:5414 RIVERMILL LN
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7439
Practice Address - Country:US
Practice Address - Phone:561-706-4392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN93229285363LF0000X
FLAPRN9322985363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily