Provider Demographics
NPI:1912622366
Name:COLLIER, MONICA LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:COLLIER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2832 LAKE JOSEPHINE DR
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33875-8222
Mailing Address - Country:US
Mailing Address - Phone:863-257-5012
Mailing Address - Fax:
Practice Address - Street 1:2832 LAKE JOSEPHINE DR
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33875-8222
Practice Address - Country:US
Practice Address - Phone:863-257-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily