Kaitlin Collins, APRN

Individual provider Active NPI Nurse Practitioner · Mangonia Park, FL

NPI 1750144473 · NPPES record last updated Oct 8, 2024

Key facts

NPI
1750144473
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN11031043 (FL)
Practice address
927 45TH St Ste 206
Mangonia Park, FL 33407-2450
Phone
(561) 844-6363
NPI assigned
Feb 5, 2024
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

State licenses

LicenseStateTypeSpecialty
APRN11031043FLMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kaitlin.collins.1@27004.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11031043 FL Yes

Addresses

Primary practice location

927 45TH St Ste 206
Mangonia Park, FL 33407-2450

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146-2423
Phone (305) 661-1515

Other providers in Mangonia Park, FL

All providers in Mangonia Park, FL · Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.