Katherine H. Collins, LPN

Individual provider Active NPI Licensed Practical Nurse · Baldwinsville, NY

NPI 1164550497 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1164550497
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
262026-1 (NY)
Practice address
2250 Connell Ter
Baldwinsville, NY 13027-1031
Phone
(315) 481-6269
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
262026-1NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 262026-1 NY Yes

Addresses

Primary practice location

2250 Connell Ter
Baldwinsville, NY 13027-1031

Mailing address

2250 Connell Ter
Baldwinsville, NY 13027-1031
Phone (315) 481-6269

Other identifiers

IdentifierTypeStateIssuer
02501004MedicaidNY

Other providers in Baldwinsville, NY

All providers in Baldwinsville, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.