Provider Demographics
NPI:1851050058
Name:COLLINS, STEVIE MARIE (APRN-BC CNP)
Entity type:Individual
Prefix:
First Name:STEVIE
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN-BC CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3798 JANES RD STE 6
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-4745
Mailing Address - Country:US
Mailing Address - Phone:707-825-4958
Mailing Address - Fax:707-825-4978
Practice Address - Street 1:3798 JANES RD STE 6
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-4745
Practice Address - Country:US
Practice Address - Phone:707-825-4958
Practice Address - Fax:707-825-4978
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-15
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034372363LF0000X
TN174737163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse