Provider Demographics
NPI:1184875528
Name:COLLINS, CYNTHIA REBECCA (APRN, NP, DNSC)
Entity type:Individual
Prefix:PROF
First Name:CYNTHIA
Middle Name:REBECCA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN, NP, DNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:234 GLENBROOK RD
Mailing Address - Street 2:UNIT 2011
Mailing Address - City:STORRS MANSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06269-9005
Mailing Address - Country:US
Mailing Address - Phone:860-486-0960
Mailing Address - Fax:860-486-0001
Practice Address - Street 1:234 GLENBROOK RD
Practice Address - Street 2:UNIT 2011
Practice Address - City:STORRS MANSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06269-9005
Practice Address - Country:US
Practice Address - Phone:860-486-0960
Practice Address - Fax:860-486-0001
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT003776363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health