| Audra Collins, | |
|
100 W West Maple Rd, Walled Lake, MI 48390-3402 | |
| (248) 624-4555 | |
| Not Available |
| Full Name | Audra Collins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 W West Maple Rd, Walled Lake, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659766012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F0215393 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704281339 (Michigan) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848617 PECOS PAC ID: 9133123755 Enrollment ID: O20060912000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Audra Collins, 1135 W University Dr, Suite 220, Rochester Hills, MI 48307-1871 Ph: () - | Audra Collins, 100 W West Maple Rd, Walled Lake, MI 48390-3402 Ph: (248) 624-4555 |
Kari Mcavoy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390 Phone: 866-389-2727 | |
Nadia Piccolo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N Pontiac Trl, Walled Lake, MI 48390 Phone: 248-624-4511 Fax: 248-624-4408 | |
Lindsi Ann Shaw, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390 Phone: 248-624-4555 | |
Jasmine S Kiryakoza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15101 Golden Ave, Walled Lake, MI 48390 Phone: 248-904-9809 | |
Valentina Schoneck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N Pontiac Trl, Walled Lake, MI 48390 Phone: 248-624-4511 Fax: 248-624-4408 | |
Hillary Little, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W West Maple Rd, Walled Lake, MI 48390 Phone: 248-624-4555 |