Collins, Mary Leta

Collins, Mary Leta is an individual health care provider with primary practice located at 120 Walnut Commons Ln Suite C, Cookeville TN 38501-6035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Collins, Mary Leta can be contacted via phone (931) 526-5777.

Contact Information

Primary practice address
120 Walnut Commons Ln Suite C Cookeville TN 38501-6035
Phone: (931) 526-5777
Fax: (931) 526-9749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN000005798 Tennessee

Profile Details

NPI number 1396830998
LBN Legal business name Collins, Mary Leta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396830998 NPPES
Tennessee MEDICAID 3343249

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