Provider Demographics
NPI:1558911776
Name:COLLIER, ANGELA M (NP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:M
Last Name:COLLIER
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 1:306 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-3020
Mailing Address - Country:US
Mailing Address - Phone:276-236-5300
Mailing Address - Fax:276-236-5303
Practice Address - Street 1:306 MEADOW ST
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-3020
Practice Address - Country:US
Practice Address - Phone:276-236-5300
Practice Address - Fax:276-236-5303
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024178249207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine