Provider Demographics
NPI:1962626234
Name:COLLINSON, CHRISTY AMON (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:AMON
Last Name:COLLINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1522 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5420
Mailing Address - Country:US
Mailing Address - Phone:415-920-2067
Mailing Address - Fax:415-821-9047
Practice Address - Street 1:1522 BUSH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5420
Practice Address - Country:US
Practice Address - Phone:415-415-8211
Practice Address - Fax:415-821-9047
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA17049363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health