Provider Demographics
NPI:1437997327
Name:COLLINS, COURTNEY MARIE (PA-S)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 S ZEPHYR ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-6153
Mailing Address - Country:US
Mailing Address - Phone:303-829-0162
Mailing Address - Fax:
Practice Address - Street 1:8420 S ZEPHYR ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-6153
Practice Address - Country:US
Practice Address - Phone:303-829-0162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant