Peggy Ann Collins, R.N.
Individual provider Active NPI Registered Nurse First Assistant · Wildwood, MO
NPI 1205100682 · NPPES record last updated Mar 5, 2012
Key facts
- NPI
- 1205100682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- 106743 (MO)
- Practice address
- 2106 Hickory Summit CT
Wildwood, MO 63011-5402 - Phone
- (696) 405-2656
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106743 | MO | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 106743 | MO | Yes |
| Registered Nurse | 163W00000X | 106743 | MO |
Addresses
Primary practice location
2106 Hickory Summit CT
Wildwood, MO 63011-5402
Mailing address
401 Heathstone LN
Saint Louis, MO 63122-7115
Phone (314) 822-4857
Other providers in Wildwood, MO
- Julie Lynn Clark
- Clarkson Eyecare
- Erin Danielle Coats
- Courtney Cole
- Mary Collins
- Stephanie Anne Cook
- Jonathan M Copeland
- Stephanie Lynn Maloney Copeland
- Corrections Chiropractic, LLC
- Andrea Coster
All providers in Wildwood, MO · Registered Nurse First Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2012. 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.