Provider Demographics
NPI:1538404397
Name:COLLIS, KAREN U (WHCNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:U
Last Name:COLLIS
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:995 CAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-1987
Mailing Address - Country:US
Mailing Address - Phone:775-293-6558
Mailing Address - Fax:775-289-1561
Practice Address - Street 1:995 CAMPTON ST
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-1987
Practice Address - Country:US
Practice Address - Phone:775-293-6558
Practice Address - Fax:775-289-1561
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV000627363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner