Susan D Collins, ARNP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Walla Walla, WA
NPI 1124004775 · NPPES record last updated Dec 12, 2013
Key facts
- NPI
- 1124004775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- AP30006240 (WA)
- Practice address
- 1111 S 2ND Ave
Walla Walla, WA 99362-4118 - Phone
- (509) 522-0100
- Fax
- (509) 527-8010
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006240 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wwu Campus Health & Wellness | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30006240 | WA | Yes |
Addresses
Primary practice location
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Mailing address
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Phone (509) 522-0100
Other names
- Susan D Collins
Other providers in Walla Walla, WA
- Adrienne Louise Cole
- Jamie M Coleman
- Michelle Lee Coleman
- Ellen Dewine Collette
- Leslie Collins
- Amanda Marie Collopy
- Jean M Colombo
- Columbia Basin Hearing Center LLC
- Columbia Basin Prosthetics & Orthotics, Inc
- Katherine E. Colvin
All providers in Walla Walla, WA · Obstetrics & Gynecology Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.