Provider Demographics
NPI:1730566209
Name:COLLISON, LILIANA ANDREA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LILIANA
Middle Name:ANDREA
Last Name:COLLISON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:LILIANA
Other - Middle Name:ANDREA
Other - Last Name:NOBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:10604 INDIAN TRL
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5500
Mailing Address - Country:US
Mailing Address - Phone:954-404-3816
Mailing Address - Fax:
Practice Address - Street 1:2000 E COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3744
Practice Address - Country:US
Practice Address - Phone:954-777-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9238694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily