Provider Demographics
NPI:1770371635
Name:COLLINS, REBECCA LOVIZA (FNP-BC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LOVIZA
Last Name:COLLINS
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 VON ROY RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-3990
Mailing Address - Country:US
Mailing Address - Phone:302-373-8019
Mailing Address - Fax:
Practice Address - Street 1:1320 VON ROY RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-3990
Practice Address - Country:US
Practice Address - Phone:302-373-8019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24193370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily