Provider Demographics
NPI:1952483794
Name:COLLINS-FULEA, CATHERINE ANN (CNM)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:COLLINS-FULEA
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:2955 SKYLINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N9E 3A6
Mailing Address - Country:CA
Mailing Address - Phone:313-790-0786
Mailing Address - Fax:313-916-5008
Practice Address - Street 1:2799 W GRAND BLVD
Practice Address - Street 2:HENRY FORD HOSPITAL, OB GYN DEPARTMENT
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-790-0786
Practice Address - Fax:313-916-5008
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MI4704130311367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife