Provider Demographics
NPI:1710218474
Name:COLLIER, GINA MARIE (NP)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:COLLIER
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1010 HURLEY WAY
Mailing Address - Street 2:500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3215
Mailing Address - Country:US
Mailing Address - Phone:916-564-3040
Mailing Address - Fax:916-564-3065
Practice Address - Street 1:3941 J ST
Practice Address - Street 2:260
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3624
Practice Address - Country:US
Practice Address - Phone:916-736-2323
Practice Address - Fax:916-736-0620
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
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Provider Licenses
StateLicense IDTaxonomies
CA19452207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease