Provider Demographics
NPI:1801661277
Name:COLLIER, LAUREN ADKINS (FNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ADKINS
Last Name:COLLIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:A
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:109 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23888
Mailing Address - Country:US
Mailing Address - Phone:757-312-8730
Mailing Address - Fax:
Practice Address - Street 1:109 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:VA
Practice Address - Zip Code:23888
Practice Address - Country:US
Practice Address - Phone:757-312-8730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-16
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024188697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily