Provider Demographics
NPI:1831890243
Name:COLLINS, SABRINA ANITA
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANITA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 PEACE HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-5715
Mailing Address - Country:US
Mailing Address - Phone:757-773-7397
Mailing Address - Fax:
Practice Address - Street 1:806 TAZEWELL ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-3228
Practice Address - Country:US
Practice Address - Phone:757-773-7397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA$$$$$$$$$183700000X, 372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No183700000XPharmacy Service ProvidersPharmacy Technician