Provider Demographics
NPI:1609980143
Name:COLLINS, RAYHME ANN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:RAYHME
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:RAYHME
Other - Middle Name:ANN
Other - Last Name:CLEARY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:83 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5123
Mailing Address - Country:US
Mailing Address - Phone:781-405-7549
Mailing Address - Fax:
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-6711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1599363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical