Provider Demographics
NPI:1750682472
Name:COLLINS, CARRIE ANN (BSN, RN)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15275 STATE ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9638
Mailing Address - Country:US
Mailing Address - Phone:585-331-9382
Mailing Address - Fax:
Practice Address - Street 1:15275 STATE ROUTE 31
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9638
Practice Address - Country:US
Practice Address - Phone:585-331-9382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301173164W00000X
NY667580-01163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse