Collins, Samantha Alexandria

Collins, Samantha Alexandria is an individual health care provider with primary practice located at 2 Cottonwood Rd , Glen Carbon IL 62034-2782. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Collins, Samantha Alexandria can be contacted via phone (314) 687-2733.

Contact Information

Primary practice address
2 Cottonwood Rd Glen Carbon IL 62034-2782
Phone: (314) 687-2733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014613 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014613 Illinois

Profile Details

NPI number 1215481924
LBN Legal business name Collins, Samantha Alexandria
Credentials DNP,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Jun 10th, 2021 - about 5 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 1215481924 NPPES
Wisconsin MEDICAID 1215481924

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