Provider Demographics
NPI:1972953974
Name:COLLINS, AARON (NP)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:COLLINS
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:FOWLERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48836-9278
Mailing Address - Country:US
Mailing Address - Phone:810-656-8900
Mailing Address - Fax:
Practice Address - Street 1:4568 W WALTON BLVD STE D
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-4900
Practice Address - Country:US
Practice Address - Phone:855-466-3631
Practice Address - Fax:833-973-4493
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704292428363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health