Provider Demographics
NPI:1184415440
Name:COLLIN, MELANIE (APRN)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:COLLIN
Suffix:
Gender:X
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 PARTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-4019
Mailing Address - Country:US
Mailing Address - Phone:860-818-1125
Mailing Address - Fax:
Practice Address - Street 1:182 PARTRIDGE DR
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-4019
Practice Address - Country:US
Practice Address - Phone:860-818-1125
Practice Address - Fax:860-818-1125
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program