Provider Demographics
NPI:1679946883
Name:COLLINS, ABBY NICHOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:NICHOLE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 S RIVER ST
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-1450
Mailing Address - Country:US
Mailing Address - Phone:740-498-8313
Mailing Address - Fax:740-498-8375
Practice Address - Street 1:702 S RIVER ST
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-1450
Practice Address - Country:US
Practice Address - Phone:740-498-8313
Practice Address - Fax:740-498-8375
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH315391163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse