Provider Demographics
NPI:1730069402
Name:COLLINS, MARIE ANNA
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ANNA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15340 CHRISTY LN
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-4304
Mailing Address - Country:US
Mailing Address - Phone:410-357-1481
Mailing Address - Fax:
Practice Address - Street 1:15340 CHRISTY LN
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-4304
Practice Address - Country:US
Practice Address - Phone:410-357-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach